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California rates for HCPCS J9266

Pegaspargase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.06 / $56,470.10 / $129,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,708.30 / $51,660.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,155.09 / $45,401.75 / $111,376.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,157.16 / $28,424.06 / $46,615.45
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.40 / $100.00 / $32,178.18
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,960.36 / $28,960.36 / $58,561.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,815.15 / $26,815.15 / $28,424.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $30,837.42
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,070.53 / $27,074.99 / $36,545.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,581.65 / $34,108.87 / $54,289.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,008.87 / $135,352.65 / $142,120.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,518.82 / $119,518.82 / $119,518.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $55,494.58 / $55,494.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,726.85 / $28,424.06 / $42,636.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $33,838.16
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35,097.61 / $35,097.61 / $35,097.61
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,739.25 / $28,424.06 / $42,636.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,557.83 / $57,497.81 / $57,497.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $40,159.50