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Mississippi rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,845.26 / $34,108.90 / $34,108.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,708.30 / $34,108.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,928.48 / $12,928.48 / $14,221.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,123.60 / $6,123.60 / $18,010.64
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
$25,781.46 / $28,424.06 / $28,424.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,781.46 / $27,070.53 / $36,003.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,002.86 / $28,424.06 / $41,214.89