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Vermont rates for HCPCS J2353

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $226.18 / $364.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.47 / $230.47 / $552.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.06 / $231.61 / $386.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $203.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.06 / $231.61 / $386.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $203.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.40 / $215.79 / $313.17