go back

Alpha 1 Proteinase Inhibitor (Glassia) Injection

Montana rates for HCPCS J0257

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $5$280%20%40%10th90th$6Professionalmedian $6 · 10th–90th $6$150%20%40%10th90th$6$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.92
Typical High
$14.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$12.30
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$14.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$6.17
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$5.75
Typical High
$16.22
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.75
Typical High
$16.22
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$14.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.94
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75