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Vermont rates for HCPCS J0221

Injection Alglucosidase Alfa (Lumizyme) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $354.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.87 / $233.87 / $233.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.90 / $228.19 / $380.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.90 / $228.19 / $380.31
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $206.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.26 / $206.59 / $317.80