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Indiana rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.42 / $1,525.42 / $2,562.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $578.69 / $578.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.96 / $1,145.92 / $1,518.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.01 / $572.96 / $813.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.96 / $572.96 / $773.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $716.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.96 / $572.96 / $1,251.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.35 / $572.96 / $1,782.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $903.83