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Alpha 1 Proteinase Inhibitor (Glassia) Injection

Washington, DC rates for HCPCS J0257

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

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $6$210%20%10th90th$13Professionalmedian $6 · 10th–90th $6$90%50%90th$6$5.0$10.0$20.0

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
$5.62
Median
$16.60
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$8.91
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$11.75
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$7.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$5.62
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$8.51