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New Hampshire 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 / $223.87 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $524.81 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $316.23 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $199.53 / $223.87