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New Hampshire rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Facilitymedian $39,811 · 10th–90th $29,512–$58,8840%10%20%10th90th$39,811Professionalmedian $28,184 · 10th–90th $28,184–$33,1130%50%90th$28,184$5.0K$10.0K$20.0K$50.0K$100.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $31,622.78 / $56,234.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $33,113.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $42,657.95 / $60,255.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $56,234.13 / $75,857.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $28,183.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $34,673.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $44,668.36 / $44,668.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $28,183.83 / $30,199.52
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $26,915.35 / $29,512.09