go back

Maryland 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 / $5.19 / $5.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $5.46 / $6.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.18 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09