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New Hampshire rates for HCPCS J0257

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

Facilitymedian $8 · 10th–90th $6–$120%10%20%10th90th$8Professionalmedian $6 · 10th–90th $5–$100%20%10th90th$6$5.0$10.0$20.0

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
$5.75 / $6.31 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $8.51 / $11.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $11.22 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $9.33 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.75 / $8.71