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Connecticut rates for HCPCS J0257

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

Facilitymedian $10 · 10th–90th $6–$170%20%10th90th$10Professionalmedian $5 · 10th–90th $5–$60%50%90th$5$5.0$10.0$20.0

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
$5.89 / $9.55 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $6.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $8.71 / $14.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.17 / $7.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.75 / $7.24