go back

Alglucosidase Alfa (Lumizyme) Injection

Kentucky rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Rates data updated July 2026.

How much does Alglucosidase Alfa (Lumizyme) Injection cost?

$245per 10 mg

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $245 for each 10 mg of this drug. The price depends on where it is billed: about $209 from a physician practice, and about $245 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
$245

The same drug, in the same amount, costs 17% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 $209
FacilityA hospital or hospital-owned outpatient department$245$245 to $245

How much rates vary

Facilitymedian $245 · 10th to 90th $224 to $355Professionalmedian $209 · 10th to 90th $209 to $209
$200.0$500.0facility $245professional $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
$208.93
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$245.47
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$331.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$218.78
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$870.96
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93

Where Kentucky sits

The same service costs 2.3 times more in Delaware than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $245 · 9th of 51
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.