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Maine rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,445.44 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $660.69 / $1,819.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $724.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,445.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $602.56 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $870.96