go back

Georgia rates for HCPCS J9021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $91.20 / $33,884.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $67.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $91.20 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $56.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $63.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $64.57 / $147.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $56.23 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $107.15 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $69.18