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Virginia rates for HCPCS J0257

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

Facilitymedian $10 · 10th–90th $5–$160%10%10th90th$10Professionalmedian $5 · 10th–90th $5–$70%50%90th$5$0.1$0.5$2.0$10.0

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 / $12.02 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $6.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $11.22 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $9.55
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.91 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $10.72 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.75 / $7.94
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $6.92 / $8.71
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $6.76 / $8.32
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.76 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $6.61 / $11.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.75 / $6.92