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New York rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $71.89 / $59,723.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $63.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.38 / $44.38 / $55.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.53 / $55.47 / $55.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $52.33 / $55.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $83.21 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $67.67
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $55.47 / $56.52
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $56.52 / $56.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $54.38 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $63.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.70 / $58.24 / $74.73
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.52 / $56.52 / $56.52
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $56.52 / $56.52