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Alglucosidase Alfa Injection

Montana rates for HCPCS J0220

Injection, alglucosidase alfa, 10 mg, not otherwise specified

Rates data updated July 2026.

How much does Alglucosidase Alfa Injection cost?

$234

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $219 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 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$234$204 to $234
FacilityA hospital or hospital-owned outpatient department$219$204 to $240

How much rates vary

Facilitymedian $219 · 10th to 90th $126 to $380Professionalmedian $234 · 10th to 90th $79 to $240
$100$200facility $219professional $234

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. 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
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$380.19
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$380.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$218.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42

Where Montana sits

The same service costs 1202264.4 times more in Alabama than in Colorado. 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.

Montana· 13th of 51

$234

AL $23,988CO $0.02

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.