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Utah 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
$0.71 / $0.71 / $98.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.06 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.61 / $0.68