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Indiana 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
$0.61 / $2.06 / $4.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.62 / $0.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $1.22 / $1.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.61 / $0.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.76
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 / $2.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.68 / $1.04