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New Hampshire rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.62 / $231.41 / $413.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.61 / $351.20 / $902.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.90 / $206.59 / $206.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.75 / $335.50 / $637.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.92 / $200.11 / $254.69