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Michigan rates for HCPCS J9266

Pegaspargase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,070.53 / $29,276.78 / $54,549.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,708.30 / $31,266.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,020.60 / $61,995.44 / $118,129.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,512.34 / $30,118.77 / $39,096.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $33,518.94
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,070.53 / $38,059.80 / $81,462.60
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,708.30 / $34,450.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,070.53 / $29,777.58 / $40,605.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $31,641.95 / $34,393.11