go back

New Jersey rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.46 / $71.89 / $40,765.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $60.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $56.30 / $72.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $57.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $67.67
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.38 / $119.84 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.71 / $54.38 / $55.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $94.30 / $116.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $58.52 / $63.72