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South Carolina rates for HCPCS J0257

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

Facilitymedian $8 · 10th–90th $4–$240%10%20%10th90th$8Professionalmedian $5 · 10th–90th $5–$90%50%90th$5$2.0$5.0$10.0$20.0

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
$5.01 / $7.94 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $7.41 / $13.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.92 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $7.94 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $6.61 / $16.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $5.50 / $8.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.75 / $7.24