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Maryland rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $55.30 / $26,283.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $66.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $55.30 / $55.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.14 / $54.14 / $54.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $65.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.15 / $55.47 / $58.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $60.91 / $65.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $54.14 / $74.66