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South Carolina rates for HCPCS J2353

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $8,128.31 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $204.17 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $245.47 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $239.88 / $257.04
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $229.09 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $204.17 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $208.93 / $239.88