go back

Missouri rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.84 / $212.81 / $250.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $212.79 / $250.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $351.20 / $742.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $258.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.90 / $194.90 / $206.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.79 / $241.70 / $1,007.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.63 / $206.62 / $233.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.60 / $206.59 / $233.64