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West Virginia rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.84 / $205.84 / $208.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $208.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.59 / $309.89 / $309.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.90 / $202.65 / $206.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $380.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.65 / $206.59 / $238.41