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New Hampshire rates for HCPCS J2354

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

Facilitymedian $1 · 10th–90th $1–$10%10%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%20%10th90th$1$1.0$2.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.82 / $3.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.91 / $1.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $1.23 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $1.02 / $1.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $0.98