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Alpha 1 Proteinase Inhibitor (Glassia) Injection

Utah rates for HCPCS J0257

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

Rates data updated July 2026.

Facilitymedian $7 · 10th–90th $6$90%50%10th90th$7Professionalmedian $7 · 10th–90th $6$70%50%10th$7$5.0$10.0$20.0

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
$6.61
Median
$6.61
Typical High
$6.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$7.76
Typical High
$12.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$10.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.62
Typical High
$6.76
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75