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Indiana rates for HCPCS J9021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $117.49 / $257.04
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
$66.07 / $85.11 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $85.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $66.07 / $100.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $63.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $58.88 / $63.10