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Alpha 1 Proteinase Inhibitor (Glassia) Injection

Michigan rates for HCPCS J0257

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

Rates data updated July 2026.

Facilitymedian $10 · 10th–90th $6$180%20%10th90th$10Professionalmedian $6 · 10th–90th $5$80%50%10th90th$6$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
$5.89
Median
$11.22
Typical High
$16.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.89
Typical High
$10.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$10.00
Typical High
$21.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.75
Typical High
$5.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.62
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$14.79
Typical High
$18.20
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.75
Typical High
$7.76
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
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
$6.31