Avalglucosidase Alfa-ngpt Injection

West Virginia 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 negotiated rate. In West Virginia, October 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 $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: $83.18
At a hospital outpatient department: $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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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 3 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	$83.18	$81.28 to $120
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$83.18	$81.28 to $126

How much rates vary

Facilitymedian $83 · 10th to 90th $81 to $158Professionalmedian $83 · 10th to 90th $81 to $120

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 Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28	Facility	None	$81.28	$81.28	$81.28
Aetna Setting Professional Modifier None Typical Low $81.28 Median $85.11 Typical High $85.11	Professional	None	$81.28	$85.11	$85.11
Cigna Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $158.49	Facility	None	$83.18	$125.89	$158.49
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $346.74	Professional	None	$83.18	$83.18	$346.74
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 $120.23	Professional	None	$81.28	$81.28	$120.23

Where West Virginia 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.

West Virginia· 30th 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.