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Hawaii rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.06 / $93.06 / $93.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $61.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $64.97
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.40 / $67.40 / $67.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $66.56 / $83.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.22 / $58.47 / $83.21
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.08 / $61.66 / $69.84