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Massachusetts rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $206.59 / $413.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $214.85 / $247.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.31 / $502.22 / $684.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.65 / $206.59 / $261.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.67 / $263.61 / $561.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $326.45 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $429.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.81 / $274.81 / $1,032.95
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.65 / $206.59 / $309.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.65 / $206.59 / $309.89