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Avalglucosidase Alfa-ngpt Injection

Vermont rates for HCPCS J0219 · Nexviazyme

Injection, avalglucosidase alfa-ngpt, 4 mg

Rates data updated October 2026.

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

$83.18per 4 mg

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $83.18 for each 4 mg of this drug. Most negotiated rates run $83.18 to $91.20.

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

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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

How much rates vary

Facilitymedian $91 · 10th to 90th $91 to $95Professionalmedian $83 · 10th to 90th $81 to $91
$100facility $91professional $83

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
Aetna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$95.50
Typical High
$95.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$91.20
United
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$87.10

Where Vermont 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.

Vermont· 39th of 51

$83.18

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.