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Louisiana 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 / $0.64 / $1.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.62 / $0.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.50 / $5.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $108.11 / $108.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $1.04