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Ohio rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $448.30 / $687.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $208.68 / $516.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.12 / $332.61 / $516.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $348.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $206.59 / $351.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $278.89
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 / $309.54
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.64 / $201.64 / $201.64
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $309.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.24 / $258.27 / $299.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $287.39