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South Carolina rates for HCPCS J0221

Injection Alglucosidase Alfa (Lumizyme) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.40 / $216.92 / $877.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.25 / $216.92 / $334.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.60 / $253.12 / $467.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.74 / $238.41 / $282.51
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.32 / $238.41 / $513.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.49 / $317.49 / $317.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59