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Maryland rates for HCPCS J2353

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.42 / $6,745.05 / $8,231.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $205.62 / $271.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $212.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $259.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $287.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $215.79 / $248.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.37 / $218.37 / $218.37