go back

Nebraska 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 / $12.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.71 / $12.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $6.06 / $6.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $6.05 / $6.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $5.64 / $6.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $6.39 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $5.71 / $6.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.66 / $8.27 / $11.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.35 / $12.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.64 / $6.20