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See a sample rate comparisonHCPCS J0257 (Glassia) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, alpha 1 proteinase inhibitor (human), (GLASSIA), 10 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J0257 |
| Medicare Payment Limit | $5.639  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00944-2884-01 - GLASSIA (APRX 1000MG/50MLSOLN) 1 MG • 00944-2884-03 - GLASSIA APPROX 4000MG/200ML 1 MG • 00944-2884-05 - GLASSIA APPROX 5000MG/250ML 1 MG |
National average reimbursement for HCPCS J0257 by major payers:
$6.19
$5.84
$6.13
$5.93
Compare published rates across providers.
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HCPCS J0257
5 of 25 sample ratesHigher to lower in this preview
The Moses H. Cone Memorial Hospital Operating Corporation
The Moses H Cone Memorial Hospital Operating Corporation
$10.73Published rateAvera St Marys, Avera St. Mary'S Hospital
Avera St Marys
$6.13Published rateJorge Antonio Gutierrez
$5.57Published rateOakwood Healthcare, Inc., Beaumont Hospital - Dearborn
Oakwood Healthcare Inc
$5.40Published rateBothwell Regional Health Center
$4.19Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J0257 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0257 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J0257 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00944-2884-01-NDC | Moderate | GLASSIA (APRX 1000MG/50MLSOLN) 1 MG |
| 00944-2884-03-NDC | Moderate | GLASSIA APPROX 4000MG/200ML 1 MG |
| 00944-2884-05-NDC | Moderate | GLASSIA APPROX 5000MG/250ML 1 MG |
| J0257-HCPCS | Low | Injection, alpha 1 proteinase inhibitor (human), (GLASSIA), 10 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0257. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0257 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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