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Alaska rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $9.55 / $33.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $10.15 / $12.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.51 / $14.51 / $14.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $17.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.68 / $9.94 / $15.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.30 / $13.40 / $22.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $8.19 / $11.01