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Texas rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $73.77 / $221.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.85 / $66.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.72 / $110.66 / $220.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.18 / $54.18 / $54.18
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.98 / $50.98 / $27,424.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.18 / $56.18 / $56.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $55.47 / $114.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $56.58 / $91.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.36 / $61.79 / $97.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $55.47 / $103.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $65.98
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 / $58.80 / $61.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $55.47 / $77.66