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New Hampshire rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.79 / $631.45 / $1,127.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $572.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.91 / $1,031.33 / $2,599.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.79 / $572.96 / $572.96
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.15 / $930.49 / $1,768.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $572.96
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.49 / $546.14 / $695.09