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Missouri rates for HCPCS J0257

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

Facilitymedian $7 · 10th–90th $5–$170%20%10th90th$7Professionalmedian $6 · 10th–90th $5–$100%20%10th90th$6$1.0$2.0$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
$5.01 / $7.94 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.75 / $9.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $6.03 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $10.00 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $6.76 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $5.75 / $6.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $6.61 / $7.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.75 / $6.92