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Oklahoma 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 / $229.17 / $20,372.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.87 / $219.87 / $226.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $195.43 / $309.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.06 / $192.06 / $203.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.70 / $203.58 / $203.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.57 / $229.17 / $327.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $212.20 / $236.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $226.63