go back

Utah 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
$6.33 / $6.33 / $10.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $6.33 / $6.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.95 / $7.15 / $7.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.46 / $5.46