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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
$213.76 / $8,046.57 / $11,964.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.54 / $205.62 / $279.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.71 / $236.82 / $601.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $262.68 / $286.86
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.24 / $213.76 / $545.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.48 / $361.48 / $361.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $215.79 / $226.63