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Alpha 1 Proteinase Inhibitor (Glassia) Injection

Wisconsin rates for HCPCS J0257

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

Rates data updated July 2026.

Facilitymedian $7 · 10th–90th $6$170%20%10th90th$7Professionalmedian $6 · 10th–90th $6$130%50%10th90th$6$1.0$2.0$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
$5.89
Median
$11.22
Typical High
$16.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.89
Typical High
$16.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$12.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$7.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$7.59
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.24
Typical High
$10.47
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$5.62
Typical High
$12.02
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.22
Typical High
$11.22
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$1.41
Typical High
$5.75
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$9.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$5.62
Typical High
$8.13
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$5.62
Typical High
$12.02
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.22
Typical High
$11.22
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.89
Typical High
$16.98
Quartz
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$17.38
Typical High
$85.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$6.31
Security Health
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.59
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$7.94