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Wisconsin rates for HCPCS J2354

Octreotide Inj, Non-Depot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.19 / $1.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.63 / $2.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.93 / $2.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $1.86 / $2.11
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.99
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.22 / $1.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $6.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.68 / $1.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.99
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.22 / $1.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.91 / $2.16
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $1.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.68 / $1.28