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Utah rates for HCPCS J9266

Pegaspargase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,716.79 / $23,786.54 / $32,971.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,708.30 / $35,530.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,667.42 / $37,699.30 / $41,116.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $28,424.06 / $36,382.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,441.69 / $54,570.02 / $78,343.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31,266.47 / $38,526.54 / $40,552.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06