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Maine rates for HCPCS J0221

Injection Alglucosidase Alfa (Lumizyme) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.29 / $479.29 / $516.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.85 / $250.01 / $250.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.92 / $250.94 / $654.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $250.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.29 / $479.29 / $516.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.85 / $250.01 / $516.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.28 / $206.59 / $309.89