go back

Texas 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 / $9.01 / $11.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.51 / $7.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.65 / $11.77 / $23.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $6,903.04 / $6,903.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $5.46 / $8.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $5.46 / $9.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $5.46 / $7.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $5.46 / $9.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $7.37