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Minnesota rates for HCPCS J9266

Pegaspargase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $34,393.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,759.21 / $27,070.53 / $52,298.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,876.21 / $28,949.90 / $29,845.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,052.26 / $43,703.09 / $88,560.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,857.10 / $30,339.42 / $35,028.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,068.18 / $42,277.45 / $96,380.05
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,581.29 / $27,581.29 / $29,420.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,886.74 / $28,424.06 / $51,163.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $31,641.95 / $73,277.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $30,129.50 / $54,378.35