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Utah rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Facilitymedian $33,113 · 10th–90th $23,988–$54,9540%20%40%10th90th$33,113Professionalmedian $28,184 · 10th–90th $28,184–$34,6740%50%90th$28,184$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $23,988.33 / $45,708.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,840.32 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $38,018.94 / $64,565.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $28,183.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $28,183.83 / $37,153.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $57,543.99 / $83,176.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31,622.78 / $31,622.78 / $41,686.94
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,197.01 / $29,512.09 / $29,512.09
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $28,183.83 / $33,884.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $29,512.09