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Indiana rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.65 / $484.73 / $939.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $208.65 / $208.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $413.18 / $547.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.60 / $206.59 / $293.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $206.59 / $309.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $258.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $206.59 / $486.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.45 / $206.59 / $555.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $256.17