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Virginia 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 / $5.95 / $11.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.73 / $5.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $11.52 / $18.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.52 / $11.35
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 / $5.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $6.55 / $7.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $5.98 / $8.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $5.77 / $6.99
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.77 / $6.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.46 / $6.85