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Massachusetts rates for HCPCS J0257

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

Facilitymedian $7 · 10th–90th $5–$150%20%40%10th90th$7Professionalmedian $6 · 10th–90th $5–$90%50%10th90th$6$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$5.01 / $8.91 / $15.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $7.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $14.13 / $18.62
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.75 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $12.02 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $7.24
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $8.13 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $9.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $14.13 / $18.62
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.75 / $7.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.62 / $11.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.75 / $6.76