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Utah rates for HCPCS J0220

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.22 / $194.22 / $577.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.22 / $194.22 / $194.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.70 / $206.70 / $206.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.34 / $300.70 / $431.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.30 / $234.00 / $234.00