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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
$29,561.02 / $41,214.90 / $76,813.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $34,393.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.06 / $43,663.84 / $83,003.94
Anthem 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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29,496.67 / $29,496.67 / $33,982.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,002.86 / $28,424.06 / $31,266.47