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Virginia rates for HCPCS J1931

Injection, laronidase, 0.1 mg

Facilitymedian $72 · 10th–90th $39–$1120%20%10th90th$72Professionalmedian $40 · 10th–90th $39–$430%50%10th90th$40$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $83.18 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $40.74 / $40.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $79.43 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $67.61
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $61.66 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $75.86 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $39.81 / $47.86
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $40.74 / $57.54
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $40.74 / $58.88
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $40.74 / $58.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $47.86