go back

Oklahoma rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.07 / $59.72 / $84.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $56.58 / $66.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.10 / $49.06 / $77.76
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $60.83 / $88.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.38 / $55.30 / $184.97
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