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Washington, DC 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
$5.46 / $14.64 / $19.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $7.52 / $12.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $5.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.46 / $8.85