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Arizona rates for HCPCS J9021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $104.71 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $89.13 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $61.66 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $61.66 / $102.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $56.23 / $63.10