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Missouri rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $62.80 / $85.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $56.58 / $66.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $74.88 / $199.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $69.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $52.33 / $55.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $66.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $62.80 / $104.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.16 / $58.48 / $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
$53.81 / $55.47 / $64.18