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Maryland 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 / $563.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $755.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.50 / $669.50 / $669.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $729.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $1,016.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $928.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.94 / $526.94 / $526.94