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Idaho rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.62 / $206.62 / $237.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $227.25 / $258.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.90 / $206.59 / $206.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.25 / $273.73 / $369.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $258.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $206.59 / $302.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.03 / $247.91 / $247.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $276.48