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Avalglucosidase Alfa-ngpt Injection

Montana rates for HCPCS J0219 · Nexviazyme

Injection, avalglucosidase alfa-ngpt, 4 mg

Rates data updated July 2026.

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

$89.13per 4 mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $89.13 for each 4 mg of this drug. The price depends on where it is billed: about $89.13 from a physician practice, and about $81.28 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
$89.13
At a hospital outpatient department
$81.28

The same drug, in the same amount, costs 9% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$81.28 to $97.72
FacilityA hospital or hospital-owned outpatient department$81.28$81.28 to $95.50

How much rates vary

Facilitymedian $81 · 10th to 90th $78 to $148Professionalmedian $89 · 10th to 90th $81 to $209
$100$200facility $81professional $89

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
$89.13
Median
$97.72
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$89.13
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$81.28
Typical High
$229.09
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$81.28
Typical High
$229.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28

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· 14th of 51

$89.13

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.