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Agalsidase Beta Injection

Montana rates for HCPCS J0180 · Fabrazyme

Injection, agalsidase beta, 1 mg

Rates data updated July 2026.

How much does Fabrazyme (agalsidase beta) cost?

$229per mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $229 for each mg of this drug. The price depends on where it is billed: about $229 from a physician practice, and about $240 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$229
At a hospital outpatient department
$240

The same drug, in the same amount, costs 5% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$229$229 to $275
FacilityA hospital or hospital-owned outpatient department$240$229 to $389

How much rates vary

Facilitymedian $240 · 10th to 90th $214 to $676Professionalmedian $229 · 10th to 90th $229 to $603
$100$1K$10K$100Kfacility $240professional $229

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$245.47
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$257.04
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$229.09
Typical High
$660.69
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$229.09
Typical High
$660.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$549.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$229.09
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09

Where Montana sits

The same service costs 2.5 times more in Delaware than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 46th of 51

$229

DE $550HI $224

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.