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Kentucky rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.06 / $28,424.10 / $48,320.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $34,393.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,178.18 / $33,518.94 / $56,848.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,781.46 / $28,424.06 / $28,424.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.06 / $34,108.87 / $45,478.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $31,266.47 / $43,773.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,351.45 / $27,351.45 / $28,424.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,450.84 / $28,424.06 / $38,727.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,070.53 / $28,153.35 / $35,191.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $29,276.78 / $31,641.95