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West Virginia rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $55.85 / $60.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $58.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.47 / $61.02 / $83.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $128.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $54.38 / $55.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $57.57
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 / $61.75 / $80.34