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New Jersey rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $314.06 / $32,490.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $208.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.90 / $220.63 / $285.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.29 / $1,165.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.86 / $198.55 / $204.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.95 / $176.95 / $176.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $238.41