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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
$56.23 / $79.43 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $77.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $154.88 / $275.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $87.10 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $64.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $154.88 / $275.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $63.10