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Iowa rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,178.20 / $32,178.20 / $62,532.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $51,660.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,581.29 / $28,424.06 / $35,191.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,819.60 / $28,424.06 / $45,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,364.31 / $30,129.50 / $48,036.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $31,266.47 / $119,518.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,391.65 / $40,605.80 / $50,273.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,277.75 / $32,484.64 / $42,636.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,482.90 / $56,326.66 / $59,375.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,992.54 / $33,824.62
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,105.57 / $31,105.57 / $31,105.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,573.40 / $31,105.57 / $31,105.57