go back

Minnesota rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $61.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.08 / $49.71 / $85.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.45 / $56.32 / $58.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.53 / $171.28 / $208.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $60.93 / $70.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.85 / $151.43 / $187.91
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.39 / $55.39 / $57.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $55.30 / $121.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $61.56 / $142.22
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 / $58.80 / $102.84