go back

Nebraska rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $206.62 / $456.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.62 / $457.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.80 / $233.88 / $72,824.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.19 / $231.53 / $233.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.39 / $206.59 / $256.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.02 / $206.62 / $1,007.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.57 / $206.62 / $227.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.67 / $302.45 / $414.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.68 / $235.04 / $436.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.26 / $206.59 / $227.25