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Connecticut rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,622.78 / $48,977.88 / $83,176.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $33,884.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,622.78 / $43,651.58 / $67,608.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $28,183.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $28,183.83
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29,512.09 / $29,512.09 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,915.35 / $28,183.83 / $31,622.78