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Kansas rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,992.50 / $32,178.20 / $125,066.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $30,697.98 / $39,793.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,195.22 / $30,136.91 / $31,723.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29,390.48 / $29,390.48 / $29,390.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,815.15 / $28,424.06 / $28,461.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.06 / $29,186.56 / $42,069.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $31,641.95 / $119,518.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $30,129.50 / $33,824.62