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Kansas 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 / $909.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $210.72 / $289.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.35 / $230.63 / $242.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.64 / $213.64 / $213.64
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.02 / $206.62 / $289.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.57 / $206.62 / $228.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $238.41