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Virginia 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 / $445.62 / $14,505.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $213.76 / $226.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $429.55 / $692.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $203.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.77 / $335.43 / $506.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.06 / $192.06 / $203.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $203.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.04 / $244.30 / $319.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.20 / $203.58 / $371.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $155.00 / $155.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.69 / $203.41 / $260.58
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.69 / $203.41 / $260.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $215.79 / $264.64