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Agalsidase Beta Injection

North Carolina rates for HCPCS J0180 · Fabrazyme

Injection, agalsidase beta, 1 mg

Rates data updated October 2026.

How much does Fabrazyme (agalsidase beta) cost?

$234per mg

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $234 for each mg of this drug. The price depends on where it is billed: about $229 from a physician practice, and about $324 from a hospital or other facility.

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
$324

The same drug, in the same amount, costs 41% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$229$209 to $234
FacilityA hospital or hospital-owned outpatient department$324$263 to $398

How much rates vary

Facilitymedian $324 · 10th to 90th $209 to $468Professionalmedian $229 · 10th to 90th $209 to $269
$200$500facility $324professional $229

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$295.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$239.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$30.90
Median
$30.90
Typical High
$36.31
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$20.89
Median
$20.89
Typical High
$23.99
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$331.13
Typical High
$467.74
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$229.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$346.74
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$269.15
Medcost
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$275.42
Medcost
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
United
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$295.12

Where North Carolina sits

The same service costs 1.6 times more in Arizona 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.

North Carolina· 39th of 51

$234

AZ $363HI $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.