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Avalglucosidase Alfa-ngpt Injection

South Carolina rates for HCPCS J0219 · Nexviazyme

Injection, avalglucosidase alfa-ngpt, 4 mg

Rates data updated October 2026.

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

$89.13per 4 mg

Typical negotiated rate. In South Carolina, October 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 $85.11 from a physician practice, and about $97.72 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.

mg
In a doctor's office or clinic
$85.11
At a hospital outpatient department
$97.72

The same drug, in the same amount, costs 15% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$85.11$83.18 to $97.72
FacilityA hospital or hospital-owned outpatient department$97.72$89.13 to $117

How much rates vary

Facilitymedian $98 · 10th to 90th $68 to $195Professionalmedian $85 · 10th to 90th $83 to $98
$50$100$200facility $98professional $85

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$89.13
Typical High
$89.13
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$97.72
Typical High
$169.82
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$85.11
Typical High
$100.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$138.04
Typical High
$204.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Medcost
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$97.72
Typical High
$223.87
Medcost
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$181.97
United
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$89.13

Where South Carolina 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.

South Carolina· 13th of 51

$89.13

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.