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Wyoming 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
$5.19 / $5.19 / $5.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.19 / $5.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.12 / $7.20 / $7.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $7.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46