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Alglucosidase Alfa Injection

New York rates for HCPCS J0220

Injection, alglucosidase alfa, 10 mg, not otherwise specified

Rates data updated July 2026.

How much does Alglucosidase Alfa Injection cost?

$195

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $186 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 7 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$186$186 to $234
FacilityA hospital or hospital-owned outpatient department$200$186 to $269

How much rates vary

Facilitymedian $200 · 10th to 90th $162 to $468Professionalmedian $186 · 10th to 90th $162 to $309
$0.1$1$10$100$1K$10Kfacility $200professional $186

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
$186.21
Median
$199.53
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$186.21
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$223.87
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$218.78
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$323.59
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$245.47
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$234.42
Typical High
$316.23
Univera
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Univera
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$218.78

Where New York 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.

New York· 48th of 51

$195

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.