go back

Wyoming rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $28,183.83
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
$28,840.32 / $33,884.42 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $26,915.35 / $26,915.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $39,810.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $53,703.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,915.35 / $28,183.83 / $30,199.52