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Nebraska rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.79 / $572.96 / $1,266.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.79 / $572.96 / $946.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.49 / $616.22 / $648.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.36 / $631.88 / $648.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.89 / $572.96 / $671.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.79 / $652.19 / $2,634.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.94 / $563.79 / $845.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.33 / $863.71 / $1,436.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.33 / $676.55 / $1,436.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.30 / $572.96 / $630.26