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Arizona rates for HCPCS J2354

Injection, octreotide, nondepot form for subcutaneous or intravenous injection, 25 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1.23 / $11.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.74 / $2.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $2.04 / $3.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.59 / $3.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.96 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61