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Alpha 1 Proteinase Inhibitor (Glassia) Injection

Missouri rates for HCPCS J0257

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $6$160%20%40%10th90th$6Professionalmedian $6 · 10th–90th $6$80%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
$5.62
Median
$6.92
Typical High
$9.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.89
Typical High
$9.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$6.03
Typical High
$19.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$7.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$10.47
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$6.76
Typical High
$85.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.75
Typical High
$6.61
United
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$5.62
Typical High
$8.32
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.75
Typical High
$6.92