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New Jersey rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.06 / $34,961.60 / $69,354.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $31,266.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,946.52 / $28,424.06 / $35,721.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $29,496.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29,496.67 / $29,496.67 / $34,677.35
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,785.00 / $27,070.53 / $104,145.76
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,714.35 / $25,930.46 / $27,207.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,026.05 / $33,026.05 / $33,026.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $29,987.38 / $32,178.18