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Ohio rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.96 / $1,128.73 / $1,753.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.66 / $572.96 / $1,306.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.79 / $1,000.67 / $1,644.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $966.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.96 / $572.96 / $974.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $773.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.53 / $540.53 / $572.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $931.53
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.53 / $540.53 / $572.96
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $931.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $750.58