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Oregon rates for HCPCS J0257

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

Facilitymedian $7 · 10th–90th $6–$120%20%10th90th$7Professionalmedian $6 · 10th–90th $5–$80%20%10th90th$6$5.0$10.0$20.0$50.0

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 / $8.13 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.75 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.76 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $6.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $13.49 / $14.45
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $6.03 / $11.22
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $6.03 / $8.13
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $11.75
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $10.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.17 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $6.46 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $11.48 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75