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Givosiran Injection

Pennsylvania rates for HCPCS J0223

Injection, givosiran, 0.5 mg

Rates data updated July 2026.

How much does Givosiran Injection cost?

$126per 0.5 mg

Typical negotiated rate. In Pennsylvania, 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 $123 from a physician practice, and about $182 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
$123
At a hospital outpatient department
$182

The same drug, in the same amount, costs 48% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$123$120 to $132
FacilityA hospital or hospital-owned outpatient department$182$123 to $309

How much rates vary

Facilitymedian $182 · 10th to 90th $120 to $355Professionalmedian $123 · 10th to 90th $120 to $182
$100.0$500.0$2.0K$10.0K$50.0Kfacility $182professional $123

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
$186.21
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$239.88
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$131.83
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$125.89
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$426.58
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$208.93
Typical High
$208.93
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$338.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$309.03
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$169.82
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$165.96

Where Pennsylvania 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.

Pennsylvania $126 · 29th 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.