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New Jersey rates for HCPCS J0257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $8.05 / $15.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.97 / $7.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $23.93 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.71 / $5.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $6.91