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Missouri rates for HCPCS J0257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $6.82 / $8.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.81 / $8.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $9.59 / $20.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $7.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.64 / $5.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.52 / $6.77 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.71 / $6.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.64 / $6.53