go back

Delaware rates for HCPCS J0256

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $12.10 / $12.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.30 / $6.30 / $6.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.02 / $8.19