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Givosiran Injection

Maine rates for HCPCS J0223 · Givlaari

Injection, givosiran, 0.5 mg

Rates data updated July 2026.

How much does Givlaari (givosiran sodium) cost?

$126per 0.5 mg

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $126 for each 0.5 mg of this drug. The price depends on where it is billed: about $120 from a physician practice, and about $302 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 0.5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$120
At a hospital outpatient department
$302

The same drug, in the same amount, costs 151% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$120$120 to $126
FacilityA hospital or hospital-owned outpatient department$302$282 to $302

How much rates vary

Facilitymedian $302 · 10th to 90th $141 to $347Professionalmedian $120 · 10th to 90th $120 to $148
$100.0$200.0facility $302professional $120

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
$281.84
Median
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$147.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$138.04
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$147.91
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$302.00
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$120.23
Typical High
$173.78

Where Maine sits

The same service costs 2.4 times more in Delaware than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $126 · 27th of 51
DE $282HI $117

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.