go back

Florida rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.06 / $47,923.00 / $64,806.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $31,266.50
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
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,675.65 / $28,424.06 / $28,424.06
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,212.03 / $28,424.06 / $28,424.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.50 / $87.45 / $127.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $30,129.50 / $31,641.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06