go back

Minnesota 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 / $11.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $12.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $6.63 / $11.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.71 / $5.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.84 / $6.72 / $17.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $6.64 / $7.05
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $5.74 / $5.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $5.55 / $6.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $5.71 / $9.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.71 / $5.71 / $8.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $10.15