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Ohio 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
$5.46 / $9.72 / $16.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.46 / $12.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.90 / $8.78 / $15.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $9.19
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.32 / $7.32 / $7.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $5.46 / $7.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.19 / $7.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $8.97
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.65 / $22.65 / $22.65
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $8.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $6.82 / $7.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.91