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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
$575.44 / $575.44 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $645.65 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $630.96 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $588.84 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $645.65 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $562.34 / $851.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $575.44 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $575.44 / $870.96