go back

Nebraska rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $55.47 / $122.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $77.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.15 / $60.18 / $60.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.43 / $67.81 / $68.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $78.84 / $83.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.96 / $80.19 / $110.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.38 / $60.54 / $82.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.25 / $81.56 / $104.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.25 / $81.56 / $83.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.90 / $77.80 / $114.60
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 / $66.01