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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
$66.91 / $99.15 / $166.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $56.03 / $70.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.50 / $122.68 / $261.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.64 / $53.25 / $58.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $55.47 / $55.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $63.26 / $108.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $55.30 / $120.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $58.80