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Connecticut rates for HCPCS J0221

Injection Alglucosidase Alfa (Lumizyme) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.85 / $322.73 / $577.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.85 / $214.85 / $214.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $314.06 / $638.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.38 / $214.39 / $258.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.93 / $206.59 / $229.31