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Virginia rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.96 / $646.44 / $1,285.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $601.61 / $601.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.96 / $1,208.95 / $1,948.06
Anthem 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 / $540.53 / $572.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $572.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.02 / $687.55 / $1,129.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.96 / $572.96 / $916.25
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.30 / $670.34 / $760.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.30 / $670.34 / $760.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.71 / $572.96 / $719.06