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Washington rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.26 / $1,127.58 / $1,172.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $630.26 / $682.19
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.49 / $719.19 / $1,394.84
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $836.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.53 / $540.53 / $1,293.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $702.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.79 / $648.63 / $1,718.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.05 / $719.19 / $1,258.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.29 / $686.44 / $762.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.95 / $572.96 / $1,070.90
Regence BlueShield
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