go back

Wisconsin rates for HCPCS J0256

Alpha 1 Proteinase Inhibitor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.35 / $10.11 / $11.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.62 / $11.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $10.10 / $12.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $7.47 / $8.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $6.60 / $13.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.56 / $8.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $12.13
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $10.92 / $10.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $1.42 / $5.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.19 / $10.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $12.13
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $10.92 / $10.92
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.76 / $17.29
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,903.04 / $6,903.04 / $6,903.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $7.67 / $7.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $7.53