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North Carolina rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.23 / $72.17 / $94,851.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.23 / $55.47 / $66.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.39 / $90.51 / $144.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.43 / $58.43 / $73.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $55.47 / $64.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $63.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.83 / $48.23 / $69.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.83 / $67.04 / $79.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.76 / $91.25 / $106.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $58.80 / $66.80
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $277.35 / $277.35
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.05 / $239.05 / $239.05