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Georgia rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $59.72 / $33,650.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $55.47 / $63.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $88.75 / $203.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.96 / $52.79 / $57.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $55.47 / $108.72
CareSource
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 / $55.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $63.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $70.38 / $140.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.70 / $88.76 / $114.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.38 / $57.64 / $69.61