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Massachusetts rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $75.04 / $109.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $61.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.53 / $148.66 / $277.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $239.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.46 / $68.12 / $132.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.14 / $55.47 / $55.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $87.37 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $64.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $277.35 / $277.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $58.80 / $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 / $55.47 / $74.16