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North Carolina 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
$4.57 / $6.17 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $8.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $8.32 / $11.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.62 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.37 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $7.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $5.75 / $6.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $8.51 / $9.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.37 / $6.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $6,918.31