go back

Delaware rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $481.69 / $481.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.73 / $206.59 / $309.89