go back

Tennessee 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 / $87,096.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $33,113.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $28,183.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $28,183.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141,253.75 / $141,253.75 / $141,253.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120,226.44 / $120,226.44 / $120,226.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $28,840.32 / $33,113.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,915.35 / $28,183.83 / $31,622.78