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Illinois rates for HCPCS J0257

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

Facilitymedian $10 · 10th–90th $6–$150%10%20%10th90th$10Professionalmedian $5 · 10th–90th $5–$90%50%90th$5$5.0$10.0$20.0$50.0$100.0$200.0

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
$5.75 / $9.55 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $7.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $26.92 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $10.47 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $8.51 / $19.05
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $8.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.75 / $6.03