go back

Tennessee rates for HCPCS J2353

Injection Octreotide Depot Form For Intramuscular Injection 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $439.25 / $6,269.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $256.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.10 / $239.10 / $239.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $203.58 / $218.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $203.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.80 / $1,029.40 / $1,029.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $215.79 / $276.87