go back

Rhode Island rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.76 / $266.76 / $266.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $86.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.98 / $81.91 / $86.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $82.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.07 / $82.07 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $82.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $91.37