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Nebraska rates for HCPCS J2353

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.20 / $339.27 / $462.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $356.11 / $11,940.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.65 / $209.83 / $220.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.19 / $247.22 / $260.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $208.46 / $260.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.83 / $403.18 / $1,029.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.59 / $212.20 / $252.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.49 / $327.56 / $442.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.58 / $248.66 / $525.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $242.26