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Kansas rates for HCPCS J0257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.82 / $6.82 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.09 / $7.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.66 / $6.33 / $6.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.91 / $5.91 / $5.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.52 / $6.39 / $8.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $5.71 / $7.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $7.90