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North Dakota 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 / $99.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $66.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.18 / $60.48 / $61.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $60.48 / $61.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.39 / $55.94 / $70.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $60.83 / $99.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $61.56 / $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
$55.47 / $55.47 / $67.06