go back

Missouri rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.79 / $800.84 / $840.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $590.15 / $800.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.96 / $974.03 / $2,058.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $716.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.53 / $572.96 / $572.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $572.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.79 / $687.55 / $2,634.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.22 / $563.79 / $652.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.02 / $572.96 / $700.73