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Oklahoma rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.79 / $608.89 / $1,035.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.79 / $618.79 / $618.79
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 / $572.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.76 / $608.89 / $870.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.94 / $563.79 / $572.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $572.96