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South Dakota rates for HCPCS J2354

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

Facilitymedian $1 · 10th–90th $1–$10%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%20%10th90th$1$1.0$2.0$5.0$10.0

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 / $1.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $10.00 / $10.00
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $0.62 / $0.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.74 / $0.74 / $0.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $1.02 / $2.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.68 / $0.68
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $0.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $2.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.72 / $1.07
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.66