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Arkansas rates for HCPCS J9021

Injection, asparaginase, recombinant, (Rylaze), 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $77.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $56.23 / $64.57