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Tennessee rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $268.61 / $439.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $250.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.46 / $231.46 / $231.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.13 / $1,007.85 / $1,032.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59