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Givosiran Injection

New York rates for HCPCS J0223

Injection, givosiran, 0.5 mg

Rates data updated July 2026.

How much does Givosiran Injection cost?

$120per 0.5 mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $120 for each 0.5 mg of this drug. The price depends on where it is billed: about $120 from a physician practice, and about $155 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
$155

The same drug, in the same amount, costs 29% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$120$120 to $123
FacilityA hospital or hospital-owned outpatient department$155$120 to $186

How much rates vary

Facilitymedian $155 · 10th to 90th $120 to $240Professionalmedian $120 · 10th to 90th $120 to $170
$100.0$1.0K$10.0Kfacility $155professional $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
$120.23
Median
$169.82
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$288.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$112.20
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$512.86
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$436.52
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$147.91
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$123.03
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$120.23
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$120.23
Typical High
$208.93
Univera
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$134.90
Univera
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$141.25

Where New York 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.

New York $120 · 43rd 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.