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Pennsylvania rates for HCPCS J2354

Octreotide Inj, Non-Depot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $1.47 / $337.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.62 / $2.49
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.66 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.64 / $9.44 / $23.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $1.47 / $39.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.62 / $1.85
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.61 / $0.61
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.65 / $1.12