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Alpha 1 Proteinase Inhibitor (Glassia) Injection

Alaska rates for HCPCS J0257

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $6$150%50%90th$6Professionalmedian $10 · 10th–90th $6$180%20%10th90th$10$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
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$37.15
Typical High
$37.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$10.47
Typical High
$13.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$18.20
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$8.71
Typical High
$17.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$15.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$6.17
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$0.58
Median
$5.75
Typical High
$11.48