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Kentucky rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $55.47 / $94.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $66.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.80 / $65.41 / $110.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $55.47 / $55.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $66.56 / $88.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $61.02 / $85.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.38 / $54.38 / $55.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $55.47 / $75.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.38 / $55.47 / $70.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $57.13 / $61.75