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Kentucky 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 / $5.64 / $9.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.38 / $6.65 / $11.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.64 / $5.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $5.98 / $9.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.20 / $8.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $5.64 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.64 / $10.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.71