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Virginia rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.25 / $116.12 / $52,029.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $61.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $114.82 / $181.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $74.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $55.30 / $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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.15 / $55.47 / $66.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $58.24 / $88.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.06 / $79.00 / $122.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $62.80 / $83.21
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $62.80 / $83.21
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 / $62.71