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Wisconsin rates for HCPCS J0220

Injection, alglucosidase alfa, 10 mg, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $199.53 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $229.09 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $436.52 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $239.88 / $269.15
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $208.93 / $208.93
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $309.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $208.93 / $208.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $309.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $741.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $323.59