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New York 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 / $6.33 / $10.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $7.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $4.37 / $5.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $5.46 / $8.26
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.78
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $5.15 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $7.73 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $5.92 / $7.63
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.66
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.66
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $0.98 / $0.98
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $5.15 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.52 / $98.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $7.53
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.66 / $5.66 / $5.66
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $5.46 / $5.66