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North Dakota rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $51,286.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $34,673.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,902.95 / $30,902.95 / $31,622.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,442.29 / $30,902.95 / $33,884.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,840.32 / $37,153.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $28,183.83 / $51,286.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $31,622.78 / $35,481.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $28,183.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $33,884.42