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Iowa rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.47 / $120.58 / $205.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $56.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.39 / $55.94 / $78.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $95.65 / $141.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $62.80 / $99.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $61.56 / $239.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.25 / $83.38 / $104.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.28 / $70.38 / $83.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.18 / $109.92 / $115.87
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 / $57.13 / $66.01
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.52 / $60.52 / $60.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.81 / $60.52 / $60.52