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Illinois rates for HCPCS J9021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $93.33 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $281.84 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $63.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $107.15 / $151.36
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $75.86 / $83.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $57.54 / $63.10