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Alpha 1 Proteinase Inhibitor (Glassia) Injection

Vermont rates for HCPCS J0257

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $6$60%50%100%90th$6Professionalmedian $6 · 10th–90th $6$100%50%90th$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$9.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$6.31
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.75
Typical High
$6.17