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Arizona rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.07 / $1,145.92 / $1,718.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.16 / $630.26 / $744.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.07 / $1,905.15 / $3,003.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.20 / $545.75 / $3,644.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.53 / $572.96 / $572.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $572.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.79 / $700.93 / $886.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.79 / $563.79 / $563.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $572.96