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Alabama rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.06 / $28,424.10 / $28,424.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $34,108.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,399.81 / $25,969.67 / $34,937.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,739.25 / $28,424.06 / $30,982.23