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Missouri rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Facilitymedian $240 · 10th–90th $209–$5750%20%10th90th$240Professionalmedian $209 · 10th–90th $209–$2880%50%90th$209$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $239.88 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $213.80 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $223.87 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $257.04 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $239.88 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $208.93 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $245.47 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $208.93 / $239.88