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Arkansas rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.61 / $247.91 / $247.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $247.91 / $247.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.16 / $224.16 / $224.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.17 / $224.16 / $224.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.21 / $206.59 / $206.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.65 / $206.59 / $206.59