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Utah rates for HCPCS J2502

Inj, Pasireotide Long Acting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.00 / $664.63 / $664.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.63 / $664.63 / $664.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.94 / $752.14 / $1,253.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $572.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.06 / $1,000.44 / $1,394.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.30 / $572.96 / $572.96