go back

Virginia rates for HCPCS J0221

Injection Alglucosidase Alfa (Lumizyme) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $236.91 / $471.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $216.92 / $216.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $435.90 / $702.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.86 / $313.91 / $473.72
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.60 / $238.41 / $247.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.84 / $205.84 / $307.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.00 / $181.00 / $181.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.39 / $206.59 / $238.41