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West Virginia 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
$0.61 / $1.73 / $1,343.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.92 / $0.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.61 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $6.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.65 / $3.83