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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
$575.44 / $1,202.26 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $630.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,148.15 / $1,949.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $954.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $870.96 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $1,174.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $912.01
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $707.95 / $851.14
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $575.44 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $575.44 / $724.44