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Maine rates for HCPCS J0220

Injection, alglucosidase alfa, 10 mg, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.88 / $542.88 / $585.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.90 / $198.90 / $198.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.84 / $249.11 / $655.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.80 / $202.80 / $202.80
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.70 / $206.70 / $250.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.88 / $542.88 / $585.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.90 / $198.90 / $585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.70 / $234.00 / $339.30