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Minnesota 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 / $413.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $457.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.44 / $237.57 / $443.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.30 / $206.62 / $206.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.28 / $246.42 / $631.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.44 / $241.43 / $260.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.61 / $210.49 / $210.49
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.39 / $205.39 / $219.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.41 / $206.62 / $349.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.62 / $206.62 / $319.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $374.51