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Florida rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $93.24 / $126.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $55.47 / $61.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $55.47 / $56.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.74 / $55.47 / $55.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $61.91 / $90.05
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 / $58.80 / $61.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $55.30 / $55.47