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Arizona rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,998.00 / $50,964.30 / $85,272.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,708.30 / $37,519.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,583.85 / $88,056.19 / $148,771.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,204.27 / $27,287.10 / $29,674.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,815.15 / $28,424.06 / $28,424.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $30,697.98 / $48,605.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $119,518.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $30,129.50