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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
$199.53 / $338.84 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $331.13 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $204.17 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $204.17 / $251.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $239.88 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $213.80 / $251.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $316.23 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $199.53 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $302.00