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New York rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Facilitymedian $7 · 10th–90th $5$130%20%10th90th$7Professionalmedian $5 · 10th–90th $5$90%50%10th90th$5$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $7.08 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.79
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $6.76 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $23.44
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $6.31 / $17.38
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $7.76
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.75
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.62
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $13.18 / $53,703.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $8.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.37 / $10.00
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $6.46
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.50 / $6.61