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Alglucosidase Alfa (Lumizyme) Injection

Pennsylvania rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Rates data updated July 2026.

How much does Lumizyme (alglucosidase alfa) cost?

$219per 10 mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $219 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 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$209$209 to $224
FacilityA hospital or hospital-owned outpatient department$316$209 to $537

How much rates vary

Facilitymedian $316 · 10th to 90th $209 to $603Professionalmedian $209 · 10th to 90th $209 to $316
$200$500$1Kfacility $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
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$416.87
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$724.44
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$363.08
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$575.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$537.03
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$263.03
Typical High
$501.19
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$218.78
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$288.40

Where Pennsylvania 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.

Pennsylvania· 21st of 51

$219

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.