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Washington, DC rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $155.94 / $40,300.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $56.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $55.30 / $64.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $52.33 / $55.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $70.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.15 / $50.98 / $57.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $60.91 / $72.67