go back

Oklahoma rates for HCPCS J0257

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

Facilitymedian $5 · 10th–90th $3–$70%20%10th90th$5Professionalmedian $5 · 10th–90th $5–$60%50%90th$5$1.0$10.0$100.0$1.0K$10.0K

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 / $6.17 / $10.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $4.17 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $14.79 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $6.17 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.75 / $5.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $5.62 / $8.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.75 / $5.75