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Mississippi rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.25 / $66.36 / $66.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $56.03 / $66.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.14 / $42.14 / $44.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.78 / $65.78 / $65.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.14 / $55.47 / $55.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $20.00 / $25.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.70 / $55.47 / $71.00