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Arkansas rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,687.70 / $34,108.90 / $35,814.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $29,845.26 / $34,108.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,092.06 / $28,424.06 / $28,424.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,461.52 / $27,070.53 / $28,424.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $30,837.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,351.45 / $28,424.06 / $32,687.67