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North Dakota 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 / $371.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $250.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.13 / $225.25 / $228.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.51 / $224.91 / $226.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.49 / $210.49 / $242.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.39 / $206.59 / $256.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.92 / $205.84 / $351.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.57 / $206.62 / $224.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.60 / $206.59 / $224.37