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Alaska rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,199.52 / $186,208.71 / $186,208.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $33,884.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $28,183.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $28,183.83 / $70,794.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $33,884.42 / $70,794.58
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $44,668.36 / $70,794.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32,359.37 / $38,904.51 / $38,904.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $28,183.83 / $51,286.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $36,307.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,915.35 / $42,657.95 / $79,432.82