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Pennsylvania rates for HCPCS J0257

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

Facilitymedian $11 · 10th–90th $6$170%10%20%10th90th$11Professionalmedian $5 · 10th–90th $5$100%50%90th$5$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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 / $11.22 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.55
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $6.17 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $19.95 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $9.77 / $9.77
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $8.51 / $15.14
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $6.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $5.89 / $10.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $5.13 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $7.94