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Avalglucosidase Alfa-ngpt Injection

New York 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 New York, 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 $105 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
$105

The same drug, in the same amount, costs 29% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 $81.28
FacilityA hospital or hospital-owned outpatient department$105$81.28 to $135

How much rates vary

Facilitymedian $105 · 10th to 90th $81 to $178Professionalmedian $81 · 10th to 90th $81 to $110
$100$200facility $105professional $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
$114.82
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$346.74
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$295.12
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$102.33
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$85.11
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$83.18
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$81.28
Typical High
$151.36
Univera
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$93.33
Univera
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$83.18
Typical High
$97.72

Where New York 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.

New York· 50th 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.