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Washington, DC rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,899.13 / $66,228.05 / $108,011.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,708.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $34,055.24
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 / $35,028.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,160.45 / $25,742.54 / $28,960.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $31,641.95 / $41,840.78