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Rhode Island rates for HCPCS J2353

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.64 / $10,942.86 / $24,352.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $205.62 / $211.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.41 / $212.20 / $224.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $203.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.06 / $203.58 / $203.58
Cigna
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