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Montana rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Facilitymedian $28,184 · 10th–90th $3,981–$57,5440%20%10th90th$28,184Professionalmedian $28,184 · 10th–90th $28,184–$36,3080%50%90th$28,184$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,840.32 / $35,481.34
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $33,113.11 / $57,543.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $33,113.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $27,542.29 / $50,118.72
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $27,542.29 / $50,118.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $28,183.83 / $41,686.94
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $33,113.11 / $37,153.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26,915.35 / $28,183.83 / $29,512.09