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Wisconsin rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Facilitymedian $7 · 10th–90th $5$160%20%10th90th$7Professionalmedian $5 · 10th–90th $5$90%50%10th90th$5$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $8.13 / $16.22
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $11.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $6.92 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $6.92 / $10.00
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.50 / $12.02
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $10.96 / $10.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $1.41 / $5.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $8.32
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $5.13 / $8.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.37 / $17.38
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6,918.31
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.92 / $8.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $7.59