go back

Alglucosidase Alfa (Lumizyme) Injection

Illinois rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Rates data updated July 2026.

How much does Lumizyme (alglucosidase alfa) cost?

$214per 10 mg

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $214 for each 10 mg of this drug. The price depends on where it is billed: about $209 from a physician practice, and about $316 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$209
At a hospital outpatient department
$316

The same drug, in the same amount, costs 51% more at a hospital than at a doctor's office.

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 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$209$209 to $269
FacilityA hospital or hospital-owned outpatient department$316$209 to $363

How much rates vary

Facilitymedian $316 · 10th to 90th $209 to $501Professionalmedian $209 · 10th to 90th $209 to $363
$200$500$1K$2Kfacility $316professional $209

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
$208.93
Median
$316.23
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$933.25
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$316.23
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$269.15
Typical High
$467.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$218.78

Where Illinois sits

The same service costs 2.3 times more in Delaware than in Maryland. 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.

Illinois· 28th of 51

$214

DE $490MD $209

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.