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New York rates for HCPCS J0220

Injection, alglucosidase alfa, 10 mg, not otherwise specified

Facilitymedian $214 · 10th–90th $186–$4680%50%10th90th$214Professionalmedian $200 · 10th–90th $162–$3240%50%10th90th$200$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$186.21 / $213.80 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $199.53 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $208.93 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $218.78 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $199.53 / $354.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $245.47
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $234.42 / $323.59
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $218.78 / $218.78