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Minnesota 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 / $203.58 / $424.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $219.87 / $6,810.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.44 / $245.08 / $519.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.76 / $212.20 / $212.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.31 / $285.55 / $848.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.55 / $256.87 / $264.75
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.92 / $243.92 / $668.45
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.46 / $208.46 / $243.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.68 / $212.20 / $482.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.20 / $236.22 / $405.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $226.63 / $439.59