go back

Massachusetts rates for HCPCS J2353

Injection, octreotide, depot form for intramuscular injection, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $282.98 / $15,947.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $211.73 / $279.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.96 / $509.76 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $215.79 / $271.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.44 / $259.77 / $553.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $203.58 / $218.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $203.58
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $335.28 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.72 / $193.72 / $402.32
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,637.90 / $6,637.90 / $9,841.10
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.80 / $270.80 / $1,029.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $215.79 / $305.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $215.79 / $356.27