go back

Rhode Island rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.12 / $1,862.12 / $1,862.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $595.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.79 / $563.79 / $711.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $572.96