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West 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
$212.20 / $16,472.06 / $49,661.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $211.80 / $279.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $212.20 / $305.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.01 / $472.01 / $472.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.06 / $203.58 / $210.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $406.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $215.79 / $319.92