go back

Avalglucosidase Alfa-ngpt Injection

Massachusetts rates for HCPCS J0219 · Nexviazyme

Injection, avalglucosidase alfa-ngpt, 4 mg

Rates data updated July 2026.

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

$81.28per 4 mg

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $81.28 for each 4 mg of this drug. The price depends on where it is billed: about $81.28 from a physician practice, and about $95.50 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 4 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$81.28
At a hospital outpatient department
$95.50

The same drug, in the same amount, costs 17% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$81.28$81.28 to $83.18
FacilityA hospital or hospital-owned outpatient department$95.50$81.28 to $141

How much rates vary

Facilitymedian $95 · 10th to 90th $81 to $219Professionalmedian $81 · 10th to 90th $81 to $132
$100$200$500$1K$2K$5Kfacility $95professional $81

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
Facility
Modifier
Global
Typical Low
$81.28
Median
$112.20
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$85.11
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$208.93
Typical High
$275.42
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$83.18
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$97.72
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$134.90
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$208.93
Typical High
$275.42
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$83.18
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$87.10

Where Massachusetts 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.

Massachusetts· 41st of 51

$81.28

DE $191HI $77.62

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.