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North Dakota 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 / $381.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $205.62 / $256.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.87 / $221.97 / $224.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.74 / $221.64 / $223.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.92 / $243.92 / $280.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.46 / $208.46 / $260.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.16 / $212.20 / $360.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.20 / $236.22 / $256.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.04 / $226.63 / $246.13