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Alpha 1 Proteinase Inhibitor (Glassia) Injection

South Dakota rates for HCPCS J0257

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $6$70%50%10th90th$6Professionalmedian $6 · 10th–90th $6$70%50%10th90th$6$5.0$10.0

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
$5.62
Typical High
$11.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$6.92
Avera
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.62
Typical High
$5.75
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
$5.75
Typical High
$7.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$8.13
Typical High
$15.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.75
Typical High
$5.75
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$6.76
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$5.75
Typical High
$6.61
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62