go back

Utah rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.64 / $239.64 / $422.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.64 / $239.64 / $239.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.85 / $266.32 / $306.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $206.59 / $526.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.26 / $206.59 / $206.59