How much does Lumizyme (alglucosidase alfa) cost?

$209per 10 mg

Typical negotiated rate. In Vermont, 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 $234 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.

Amount givenmg

In a doctor's office or clinic: $209
At a hospital outpatient department: $234

The same drug, in the same amount, costs 12% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$209	$209 to $219
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$234	$234 to $234

How much rates vary

Facilitymedian $234 · 10th to 90th $234 to $234Professionalmedian $209 · 10th to 90th $209 to $355

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier Global Typical Low $208.93 Median $208.93 Typical High $354.81	Professional	Global	$208.93	$208.93	$354.81
BCBS Setting Facility Modifier Global Typical Low $234.42 Median $234.42 Typical High $234.42	Facility	Global	$234.42	$234.42	$234.42
Cigna Setting Facility Modifier Global Typical Low $234.42 Median $234.42 Typical High $234.42	Facility	Global	$234.42	$234.42	$234.42
Cigna Setting Professional Modifier Global Typical Low $208.93 Median $208.93 Typical High $234.42	Professional	Global	$208.93	$208.93	$234.42
United Setting Facility Modifier Global Typical Low $234.42 Median $234.42 Typical High $234.42	Facility	Global	$234.42	$234.42	$234.42
United Setting Professional Modifier Global Typical Low $162.18 Median $208.93 Typical High $223.87	Professional	Global	$162.18	$208.93	$223.87

Where Vermont 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.

Vermont· 37th 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.