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Alglucosidase Alfa Injection

North Carolina rates for HCPCS J0220

Injection, alglucosidase alfa, 10 mg, not otherwise specified

Rates data updated July 2026.

How much does Alglucosidase Alfa Injection cost?

$200

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $200 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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$200$200 to $214
FacilityA hospital or hospital-owned outpatient department$200$200 to $214

How much rates vary

Facilitymedian $200 · 10th to 90th $200 to $263Professionalmedian $200 · 10th to 90th $200 to $234
$200$500facility $200professional $200

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
$123.03
Median
$199.53
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$199.53
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$302.00
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31

Where North Carolina 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.

North Carolina· 44th of 51

$200

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.