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New Mexico rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,902.95 / $43,651.58 / $97,723.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $35,481.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $33,113.11 / $56,234.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,442.29 / $33,884.42 / $45,708.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $33,884.42 / $40,738.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $28,183.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,915.35 / $28,183.83 / $40,738.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $28,183.83 / $37,153.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $33,884.42
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
$26,915.35 / $28,183.83 / $30,199.52