go back

Missouri rates for HCPCS J9021

Injection, asparaginase, recombinant, (Rylaze), 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $63.10 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $81.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $60.26 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $56.23 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $63.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $63.10 / $102.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $58.88 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $66.07 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $56.23 / $63.10