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Maine rates for HCPCS J2353

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.31 / $472.31 / $11,043.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.62 / $211.80 / $256.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.00 / $247.29 / $645.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $203.58
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.72 / $193.72 / $234.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.31 / $472.31 / $11,043.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.62 / $222.71 / $279.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.72 / $203.58 / $305.37