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Louisiana rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.79 / $591.98 / $1,409.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.79 / $578.69 / $682.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.32 / $276.83 / $511.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.53 / $540.53 / $572.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $572.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $976.91