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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
$575.44 / $616.60 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $602.56 / $870.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $562.34 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $575.44 / $575.44