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Texas rates for HCPCS J0219

Injection, avalglucosidase alfa-ngpt, 4 mg

Facilitymedian $148 · 10th–90th $74–$3160%10%10th90th$148Professionalmedian $81 · 10th–90th $81–$1320%50%90th$81$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $134.90 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $177.83 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $204.17 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $102.33 / $158.49
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $134.90
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $117.49 / $257.04
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $77.62 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $81.28 / $81.28