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Tennessee 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 / $120.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $55.47 / $66.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $57.91 / $66.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.14 / $55.47 / $55.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $271.89 / $277.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.05 / $239.05 / $239.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.73 / $89.73 / $89.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.70 / $55.47 / $61.75