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Rhode Island 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
$17.75 / $17.75 / $17.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $5.19 / $6.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $5.46 / $5.46