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Avalglucosidase Alfa-ngpt Injection

Pennsylvania rates for HCPCS J0219 · Nexviazyme

Injection, avalglucosidase alfa-ngpt, 4 mg

Rates data updated July 2026.

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

$85.11per 4 mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $85.11 for each 4 mg of this drug. The price depends on where it is billed: about $81.28 from a physician practice, and about $126 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
$126

The same drug, in the same amount, costs 55% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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 $87.10
FacilityA hospital or hospital-owned outpatient department$126$81.28 to $200

How much rates vary

Facilitymedian $126 · 10th to 90th $81 to $234Professionalmedian $81 · 10th to 90th $81 to $123
$100$200$500facility $126professional $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
$131.83
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$162.18
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$85.11
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$281.84
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$141.25
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$229.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$208.93
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$114.82
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$112.20

Where Pennsylvania 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.

Pennsylvania· 18th of 51

$85.11

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.