Avalglucosidase Alfa-ngpt Injection

Washington, DC rates for HCPCS J0219 · Nexviazyme

Injection, avalglucosidase alfa-ngpt, 4 mg

Rates data updated October 2026.

How much does Nexviazyme (avalglucosidase alfa-ngpt) cost?

$83.18per 4 mg

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $83.18 for each 4 mg of this drug. The price depends on where it is billed: about $81.28 from a physician practice, and about $158 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 4 mg. Enter the amount given to see what insurers have agreed to pay for it.

Amount givenmg

In a doctor's office or clinic: $81.28
At a hospital outpatient department: $158

The same drug, in the same amount, costs 95% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$81.28	$75.86 to $83.18
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$158	$83.18 to $186

How much rates vary

Facilitymedian $158 · 10th to 90th $83 to $229Professionalmedian $81 · 10th to 90th $76 to $107

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

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18	Facility	None	$83.18	$83.18	$83.18
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18	Professional	None	$83.18	$83.18	$83.18
CareFirst Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $81.28	Professional	None	$75.86	$81.28	$81.28
Cigna Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $295.12	Facility	None	$125.89	$173.78	$295.12
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $107.15	Professional	None	$83.18	$83.18	$107.15
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $83.18	Professional	None	$70.79	$70.79	$83.18
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18	Facility	None	$83.18	$83.18	$83.18
United Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $134.90	Professional	None	$81.28	$81.28	$134.90

Where Washington, DC sits

The same service costs 446.7 times more in Alabama than in Iowa. 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.

Washington, DC· 30th of 51

$83.18

AL $36,308IA $81.28

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.