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Michigan rates for HCPCS J2502

Inj, Pasireotide Long Acting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.70 / $590.15 / $1,811.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $590.15 / $682.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.29 / $1,275.95 / $2,413.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.40 / $216.21 / $216.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.05 / $572.96 / $572.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.96 / $1,016.23 / $1,882.98
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $580.70 / $687.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $607.91