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Wisconsin rates for HCPCS J0257

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

Facilitymedian $7 · 10th–90th $5$170%20%10th90th$7Professionalmedian $6 · 10th–90th $5$100%20%40%10th90th$6$1.0$2.0$5.0$10.0$20.0$50.0

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
$5.89 / $8.51 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $12.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.41 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.24 / $10.47
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.62 / $12.02
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.22 / $11.22
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $1.41 / $5.75
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $9.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.62 / $8.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.89 / $18.20
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.59 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $7.94