Avalglucosidase Alfa-ngpt Injection

Rhode Island rates for HCPCS J0219 · Nexviazyme

Injection, avalglucosidase alfa-ngpt, 4 mg

Rates data updated October 2026.

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

$81.28per 4 mg

Typical negotiated rate. In Rhode Island, October 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 $83.18 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.

Amount givenmg

In a doctor's office or clinic: $81.28
At a hospital outpatient department: $83.18

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$81.28	$81.28 to $87.10
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$83.18	$81.28 to $85.11

How much rates vary

Facilitymedian $83 · 10th to 90th $81 to $112Professionalmedian $81 · 10th to 90th $81 to $87

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10	Professional	None	$87.10	$87.10	$87.10
BCBS Rhode Island Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $85.11	Facility	None	$81.28	$81.28	$85.11
BCBS Rhode Island Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28	Professional	None	$81.28	$81.28	$81.28
Cigna Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $169.82	Facility	None	$83.18	$109.65	$169.82
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18	Professional	None	$83.18	$83.18	$83.18
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18	Facility	None	$83.18	$83.18	$83.18
United Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28	Professional	None	$81.28	$81.28	$81.28

Where Rhode Island 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.

Rhode Island· 45th of 51

$81.28

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.