go back

Idaho rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.79 / $563.79 / $648.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.79 / $630.26 / $716.20
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.26 / $759.17 / $1,024.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $630.26 / $716.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $526.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.98 / $654.02 / $1,097.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.41 / $687.55 / $687.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $802.14