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Alglucosidase Alfa (Lumizyme) Injection

Montana rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Rates data updated October 2026.

How much does Lumizyme (alglucosidase alfa) cost?

$229per 10 mg

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $229 for each 10 mg of this drug. The price depends on where it is billed: about $209 from a physician practice, and about $257 from a hospital or other facility.

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
$257

The same drug, in the same amount, costs 23% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$209 to $229
FacilityA hospital or hospital-owned outpatient department$257$229 to $263

How much rates vary

Facilitymedian $257 · 10th to 90th $209 to $407Professionalmedian $209 · 10th to 90th $79 to $282
$100$200$500$1Kfacility $257professional $209

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$512.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$229.09
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$257.04
Typical High
$338.84
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$257.04
Typical High
$281.84
Providence
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$512.86
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$208.93
Typical High
$229.09
United
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93

Where Montana sits

The same service costs 1.6 times more in Arizona than in New Jersey. 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

$229

AZ $339NJ $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.