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Georgia rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $29,512.09 / $46,773.51
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
$28,183.83 / $45,708.82 / $154,881.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $28,183.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $28,183.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $26,915.35 / $28,183.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $33,113.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $28,183.83 / $45,708.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $28,183.83 / $48,977.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $52,480.75 / $74,131.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,915.35 / $28,840.32 / $33,884.42