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Vermont rates for HCPCS J0257

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $9.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $6.17 / $10.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $6.17 / $10.28
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.64 / $6.72