go back

Alaska rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.90 / $533.23 / $155,134.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.76 / $90.28 / $152.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $82.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.90 / $152.66 / $218.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $98.50 / $205.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.50 / $130.09 / $204.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.92 / $111.50 / $111.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.08 / $152.66 / $218.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $91.84 / $104.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.00 / $123.12 / $246.24