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Colorado rates for HCPCS J0257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $11.36 / $14.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.05 / $6.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.20 / $9.90 / $18.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.32 / $7.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.98 / $9.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $6.20 / $9.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64