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Missouri 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 / $1.73 / $2.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.63 / $2.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.70 / $1.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $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
$0.65 / $2.27 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.61 / $0.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.65 / $1.12