go back

Massachusetts rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $794.33 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $630.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,479.11 / $1,995.26
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $602.56 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $912.01 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $1,000.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,479.11 / $1,995.26
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $602.56 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $575.44 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $1,000.00