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Pennsylvania rates for HCPCS J0221

Injection Alglucosidase Alfa (Lumizyme) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $483.49 / $628.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $208.65 / $457.16
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.51 / $224.13 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.38 / $214.38 / $224.14
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.68 / $352.67 / $628.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $208.68 / $628.13
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.90 / $206.59 / $206.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.44 / $188.44 / $218.67
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.44 / $188.44 / $218.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $285.30