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West Virginia rates for HCPCS J2502

Injection, pasireotide long acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.79 / $563.79 / $578.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.42 / $572.96 / $578.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.96 / $859.44 / $859.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.53 / $572.96 / $680.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $968.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.96 / $572.96 / $1,129.79