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Georgia 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
$5.19 / $5.46 / $7.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.46 / $6.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $8.89 / $20.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $5.46 / $5.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $10.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $5.03 / $5.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $7.27