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Georgia rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $206.62 / $450.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.62 / $250.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $336.33 / $758.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.47 / $206.59 / $206.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $206.59 / $404.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.90 / $194.90 / $206.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.21 / $221.80 / $817.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $218.99