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Colorado rates for HCPCS J9021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.46 / $109.66 / $110.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $64.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.46 / $97.39 / $177.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $52.33 / $76.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $58.80 / $92.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.47 / $61.02 / $87.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $58.80