go back

Louisiana rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $71.34 / $155.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $66.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $59.82 / $89.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.82 / $59.82 / $61.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $52.33 / $55.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.92 / $55.47 / $63.72