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Michigan rates for HCPCS J0221

Injection Alglucosidase Alfa (Lumizyme) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.79 / $212.81 / $663.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $212.79 / $250.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.99 / $450.57 / $858.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.96 / $210.48 / $210.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.50 / $206.59 / $206.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $255.37 / $592.14
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $212.79 / $247.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.80 / $237.57 / $237.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $219.17