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South Carolina rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.25 / $23,994.67 / $23,994.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.23 / $55.47 / $60.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $53.49 / $87.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $60.53 / $73.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $55.47 / $64.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $57.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.83 / $55.47 / $86.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.83 / $41.83 / $79.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $58.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $55.47 / $119.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.22 / $58.80 / $64.34