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New Jersey rates for HCPCS J9021

Injection, asparaginase, recombinant, (Rylaze), 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $85.11 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $64.57 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $69.18
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $9,772.37 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $66.07 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $63.10