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Washington 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
$299.52 / $468.00 / $468.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.22 / $198.90 / $233.06
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.86 / $223.29 / $461.47
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $234.00 / $341.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.70 / $206.70 / $826.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.70 / $206.70 / $253.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.19 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.53 / $220.31 / $340.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.86 / $178.63 / $397.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $234.00 / $234.00