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Kansas rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.40 / $81.14 / $243.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $56.58 / $77.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.08 / $57.43 / $60.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.53 / $58.53 / $58.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $55.47 / $60.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $57.96 / $84.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $61.56 / $239.05
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 / $58.80 / $66.01