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Missouri 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 / $7.04 / $8.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.62 / $7.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.95 / $19.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $5.92 / $6,903.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $5.19 / $5.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $5.46 / $6.81