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Idaho rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.10 / $28,424.10 / $32,687.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $29,276.78 / $35,530.07
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 / $28,424.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,250.00 / $28,424.06 / $40,859.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $30,129.50 / $35,530.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,722.81 / $24,363.48 / $52,787.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,014.86 / $39,931.81 / $67,537.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,108.87 / $34,108.87 / $35,530.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06