go back

Avalglucosidase Alfa-ngpt Injection

South Dakota rates for HCPCS J0219 · Nexviazyme

Injection, avalglucosidase alfa-ngpt, 4 mg

Rates data updated July 2026.

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

$83.18per 4 mg

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $83.18 for each 4 mg of this drug. The price depends on where it is billed: about $83.18 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
$83.18
At a hospital outpatient department
$81.28

The same drug, in the same amount, costs 2% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 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$83.18$81.28 to $89.13
FacilityA hospital or hospital-owned outpatient department$81.28$81.28 to $83.18

How much rates vary

Facilitymedian $81 · 10th to 90th $81 to $83Professionalmedian $83 · 10th to 90th $81 to $102
$100facility $81professional $83

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
$81.28
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$97.72
Avera
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$79.43
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$102.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$218.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$81.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$81.28
Typical High
$93.33
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28

Where South Dakota 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.

South Dakota· 27th of 51

$83.18

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.