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New York rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $37,153.52 / $77,624.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $38,018.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $29,512.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $28,183.83
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $22,387.21
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $26,915.35 / $40,738.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $30,902.95
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $34,673.69 / $97,723.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29,512.09 / $29,512.09 / $35,481.34
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $28,840.32
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,840.32 / $28,840.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,622.78 / $50,118.72 / $58,884.37
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $30,902.95 / $30,902.95
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 / $33,884.42
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $33,113.11
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,840.32 / $28,840.32