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Alpha 1 Proteinase Inhibitor (Glassia) Injection

Texas rates for HCPCS J0257

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

Rates data updated July 2026.

Facilitymedian $11 · 10th–90th $5$200%10%10th90th$11Professionalmedian $6 · 10th–90th $6$80%50%10th90th$6$5.0$20.0$100.0$500.0

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
$10.00
Typical High
$12.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.75
Typical High
$7.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$12.59
Typical High
$22.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$13.80
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.75
Typical High
$8.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.62
Typical High
$10.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.75
Providence
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$7.94
Typical High
$17.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
United
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$5.62
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.62
Typical High
$7.59