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Wyoming rates for HCPCS J9021

Injection Asparaginase Recombinant (Rylaze) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $55.30 / $55.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $61.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.16 / $63.72 / $63.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $52.33 / $52.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $68.03 / $78.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $55.47 / $55.47