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North Dakota rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.96 / $572.96 / $1,014.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $682.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.61 / $624.72 / $632.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.37 / $623.79 / $629.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.89 / $542.26 / $671.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.79 / $652.19 / $958.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.94 / $563.79 / $612.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.02 / $572.96 / $641.72