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Iowa rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.84 / $205.84 / $456.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.84 / $206.59 / $457.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.49 / $210.49 / $210.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.39 / $205.39 / $256.73
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.43 / $206.59 / $454.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.84 / $206.62 / $274.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.45 / $206.62 / $302.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.32 / $302.45 / $414.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.36 / $232.15 / $335.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.64 / $206.59 / $212.79
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.62 / $206.62 / $206.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.62 / $206.62 / $206.62