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Wyoming 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 / $212.20 / $212.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $212.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.41 / $239.31 / $239.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.06 / $192.06 / $192.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $288.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $226.63