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Louisiana rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.06 / $36,667.00 / $80,096.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.10 / $34,393.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,797.14 / $29,777.58 / $44,666.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,288.70 / $29,777.58 / $30,373.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,581.65 / $28,424.06 / $32,178.18