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Oklahoma rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.10 / $30,698.00 / $43,281.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,992.54 / $34,393.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,252.85 / $6,708.92 / $10,637.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,815.15 / $26,815.15 / $28,424.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,566.89 / $30,697.98 / $41,214.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,781.46 / $28,424.06 / $119,518.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $33,824.62