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Alpha 1 Proteinase Inhibitor (Glassia) Injection

Arizona rates for HCPCS J0257

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

Rates data updated July 2026.

Facilitymedian $11 · 10th–90th $5$320%10%20%10th90th$11Professionalmedian $6 · 10th–90th $6$130%50%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
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$10.00
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.41
Typical High
$13.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$20.42
Typical High
$38.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$10.72
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$10.00
Typical High
$11.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.63
Median
$7.59
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
United
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$5.62
Typical High
$5.62
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75