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Utah rates for HCPCS J2353

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.16 / $508.67 / $29,916.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.16 / $236.16 / $236.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.45 / $289.52 / $331.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $203.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.08 / $448.20 / $624.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.40 / $203.58 / $226.63