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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
$57.54 / $77.62 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $69.18 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $60.26 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $56.23 / $63.10