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Ohio rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.08 / $187.14 / $24,910.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.91 / $82.08 / $104.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.64 / $143.34 / $235.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $91.92 / $138.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.08 / $82.08 / $123.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $110.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.53 / $77.43 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $99.01
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.53 / $77.43 / $82.07
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $116.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.91 / $91.73 / $107.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.92 / $82.08 / $97.68