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Texas rates for HCPCS J0257

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

Facilitymedian $11 · 10th–90th $5–$200%10%10th90th$11Professionalmedian $5 · 10th–90th $5–$90%50%90th$5$2.0$5.0$10.0$20.0$50.0$100.0

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 / $10.47 / $13.80
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
$5.01 / $12.59 / $22.91
BCBS
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 / $13.80 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $8.13 / $11.75
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.62 / $9.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.75
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $8.13 / $18.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
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 / $5.75