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Massachusetts rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.06 / $39,890.30 / $56,848.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $34,108.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,577.01 / $69,098.89 / $142,120.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $119,518.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,470.59 / $34,904.75 / $67,819.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,070.53 / $28,424.06 / $28,424.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $9,239.00 / $44,910.01
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $32,898.01
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,550.97 / $41,550.97 / $41,550.97
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,809.36 / $142,120.29 / $142,120.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $30,129.50 / $119,518.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $35,766.28