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Oregon rates for HCPCS J0257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $7.05 / $11.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.71 / $12.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $7.80 / $10.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $6.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $1.57 / $14.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $8.07 / $12.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.98 / $7.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $7.05 / $11.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $6.05 / $10.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $6.12 / $6.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $7.22 / $17.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $6.77