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North Carolina rates for HCPCS J0257

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

Facilitymedian $7 · 10th–90th $5–$110%20%10th90th$7Professionalmedian $5 · 10th–90th $5–$100%50%90th$5$5.0$10.0$20.0$50.0$100.0

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 / $6.76 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.55
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $9.55 / $13.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $9.12 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $6.46
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.75 / $6.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $8.91 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.75 / $7.94
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $100.00