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Oregon 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 / $269.31 / $424.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $212.20 / $6,810.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.06 / $370.82 / $409.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $220.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $465.90 / $574.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.00 / $263.24 / $437.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $215.80 / $264.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $254.48 / $610.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.97 / $233.13 / $370.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.46 / $227.68 / $272.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.51 / $344.77 / $760.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $203.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $226.63