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Michigan rates for HCPCS J0257

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

Facilitymedian $11 · 10th–90th $6–$180%10%20%10th90th$11Professionalmedian $5 · 10th–90th $5–$80%50%90th$5$5.0$10.0$20.0$50.0

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 / $11.48 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $9.12 / $21.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.75 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $11.48 / $18.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.89 / $8.71
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $5.62 / $5.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.75 / $6.03