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Avalglucosidase Alfa-ngpt Injection

Idaho rates for HCPCS J0219 · Nexviazyme

Injection, avalglucosidase alfa-ngpt, 4 mg

Rates data updated October 2026.

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

$95.50per 4 mg

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $95.50 for each 4 mg of this drug. The price depends on where it is billed: about $93.33 from a physician practice, and about $95.50 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.

mg
In a doctor's office or clinic
$93.33
At a hospital outpatient department
$95.50

The same drug, in the same amount, costs 2% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$93.33$83.18 to $105
FacilityA hospital or hospital-owned outpatient department$95.50$89.13 to $105

How much rates vary

Facilitymedian $95 · 10th to 90th $83 to $138Professionalmedian $93 · 10th to 90th $81 to $115
$100$200facility $95professional $93

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
Professional
Modifier
None
Typical Low
$83.18
Median
$104.71
Typical High
$104.71
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$95.50
Typical High
$138.04
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$97.72
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$95.50
Typical High
$213.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Moda Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$104.71
Typical High
$104.71
Moda Health
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$102.33
Typical High
$104.71
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$123.03
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$97.72
Typical High
$104.71
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$194.98
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$100.00
Select Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$177.83
Select Health
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$128.82

Where Idaho sits

The same service costs 1.5 times more in Arizona than in Nebraska. 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.

Idaho· 6th of 51

$95.50

AZ $126NE $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.