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Alglucosidase Alfa (Lumizyme) Injection

Texas rates for HCPCS J0221

Injection, alglucosidase alfa, (Lumizyme), 10 mg

Rates data updated July 2026.

How much does Lumizyme (alglucosidase alfa) cost?

$209per 10 mg

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $209 for each 10 mg of this drug. The price depends on where it is billed: about $209 from a physician practice, and about $363 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
$363

The same drug, in the same amount, costs 74% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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$363$209 to $457

How much rates vary

Facilitymedian $363 · 10th to 90th $170 to $646Professionalmedian $209 · 10th to 90th $209 to $282
$200$500$1Kfacility $363professional $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
$363.08
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$380.19
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$501.19
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$302.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$208.93
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$208.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$645.65
Providence
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$281.84

Where Texas 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.

Texas· 45th of 51

$209

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.