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Oklahoma rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.62 / $223.14 / $379.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.12 / $223.12 / $223.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.51 / $306.88
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 / $206.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.43 / $206.62 / $319.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.57 / $206.62 / $206.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59