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Michigan rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,148.15 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $660.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,288.25 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $218.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,659.59 / $1,862.09
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $602.56 / $776.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $575.44 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $616.60