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Montana rates for HCPCS J2353

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.62 / $226.18 / $6,810.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.21 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.54 / $233.54 / $612.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $233.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.54 / $233.54 / $612.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $220.87 / $288.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $203.58