go back

Mississippi rates for HCPCS J9020

Injection Asparaginase Not Otherwise Specified 10 000 Units (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.63 / $55.22 / $55.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.63 / $54.93 / $60.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.47 / $58.47 / $64.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.78 / $65.78 / $65.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $71.02 / $71.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $75.84 / $75.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.23 / $73.09 / $93.56