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Alpha 1 Proteinase Inhibitor (Glassia) Injection

Iowa rates for HCPCS J0257

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $6$90%50%90th$6Professionalmedian $7 · 10th–90th $6$130%20%10th90th$7$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$5.75
Median
$6.92
Typical High
$11.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$6.92
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.17
Typical High
$7.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.03
Typical High
$16.22
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$6.17
Typical High
$9.55
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$5.75
Typical High
$9.55
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$7.24
Typical High
$7.24
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
$6.03
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62