go back

New Mexico rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.21 / $86.21 / $86.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $70.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.91 / $248.72 / $405.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.38 / $55.47 / $67.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.38 / $88.64 / $88.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $55.47 / $70.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $67.68
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 / $58.80