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Wyoming rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93