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New York 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 / $6.97 / $11.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $7.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.51 / $5.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $5.64 / $8.22
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $4.98 / $5.23
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $4.98 / $4.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.17 / $5.32 / $5.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $7.98 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.12 / $6.12 / $8.36
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.17 / $5.32 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.64 / $7.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $7.90
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.64 / $5.64