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Montana rates for HCPCS J2354

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $3.31 / $3.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $1.82 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.68
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $3.47
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $3.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $2.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66