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Texas rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.06 / $43,062.50 / $62,009.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,708.30 / $34,393.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,645.43 / $43,627.76 / $87,605.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,547.00 / $26,547.00 / $26,547.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $28,424.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,815.15 / $28,424.06 / $28,424.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,008.87 / $135,352.65 / $142,120.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,518.82 / $119,518.82 / $119,518.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.50 / $28,424.06 / $35,396.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,992.54 / $46,899.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,482.90 / $31,266.46 / $56,421.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,658.13 / $28,424.06 / $35,885.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $33,838.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,026.05 / $44,666.37 / $44,666.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $30,129.50 / $31,641.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,070.53 / $28,424.06 / $39,793.68