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Idaho rates for HCPCS J0220

Injection Aglucosidase Alfa 10 Mg Not Otherwise Specified (Revised 010112)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.70 / $206.70 / $206.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.70 / $206.70 / $206.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.28 / $146.28 / $146.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.30 / $223.29 / $372.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $234.00 / $327.60