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Maine rates for HCPCS J2502

Inj, Pasireotide Long Acting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.27 / $1,329.27 / $1,432.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.88 / $682.19 / $682.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.45 / $695.97 / $1,815.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $572.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.96 / $572.96 / $572.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $572.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $693.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.27 / $1,329.27 / $1,432.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.88 / $682.19 / $1,432.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $1,002.68