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Virginia rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $208.93 / $33,113.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $97.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $154.88 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $138.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $81.28 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $81.28 / $95.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $87.10 / $138.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $81.28 / $81.28
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $91.20 / $120.23
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $91.20 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $87.10 / $93.33