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Alpha 1 Proteinase Inhibitor (Glassia) Injection

Oregon rates for HCPCS J0257

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

Rates data updated July 2026.

Facilitymedian $7 · 10th–90th $6$120%20%40%10th90th$7Professionalmedian $6 · 10th–90th $6$120%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
$5.62
Median
$8.13
Typical High
$13.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$6.17
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.76
Typical High
$12.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$6.17
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$13.49
Typical High
$14.45
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$6.03
Typical High
$11.22
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$6.03
Typical High
$7.41
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$11.75
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$10.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.17
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$6.46
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75