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Alaska rates for HCPCS J0257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.02 / $10.51 / $37.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $10.49 / $13.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $18.16
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $10.78 / $16.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $15.00 / $25.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $6.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $8.46 / $11.38