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Arizona rates for HCPCS J0257

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

Facilitymedian $12 · 10th–90th $5–$320%10%20%10th90th$12Professionalmedian $6 · 10th–90th $5–$100%20%40%10th90th$6$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
$7.94 / $10.47 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.77
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $20.42 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $10.96 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $9.33 / $11.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $7.59 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $5.50 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.75 / $5.75