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North Carolina rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $41,686.94 / $61,659.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,442.29 / $28,183.83 / $35,481.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,018.94 / $57,543.99 / $69,183.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,417.38 / $38,904.51 / $42,657.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $40,738.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $33,113.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $28,183.83 / $38,904.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $38,018.94 / $45,708.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $44,668.36 / $50,118.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,915.35 / $30,199.52 / $31,622.78
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141,253.75 / $141,253.75 / $141,253.75
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120,226.44 / $120,226.44 / $120,226.44