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Connecticut rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.69 / $80.43 / $149.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $66.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $83.62 / $166.27
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
$55.47 / $55.47 / $55.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $57.56 / $66.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.70 / $55.47 / $61.02