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Alaska rates for HCPCS J0257

Injection, alpha 1 proteinase inhibitor (human), (GLASSIA), 10 mg

Facilitymedian $6 · 10th–90th $6–$150%50%90th$6Professionalmedian $5 · 10th–90th $5–$100%50%90th$5$1.0$2.0$5.0$10.0$20.0$50.0

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
$6.31 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $6.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $18.20
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $8.71 / $17.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $15.14
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $6.17 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.58 / $5.75 / $11.48