go back

Lumasiran Injection

Arizona rates for HCPCS J0224 · Oxlumo

Injection, lumasiran, 0.5 mg

Rates data updated July 2026.

How much does Oxlumo (lumasiran) cost?

$437per 0.5 mg

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $437 for each 0.5 mg of this drug. The price depends on where it is billed: about $363 from a physician practice, and about $603 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
$363
At a hospital outpatient department
$603

The same drug, in the same amount, costs 66% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 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$363$363 to $437
FacilityA hospital or hospital-owned outpatient department$603$501 to $1,047

How much rates vary

Facilitymedian $603 · 10th to 90th $269 to $1,318Professionalmedian $363 · 10th to 90th $331 to $794
$200$500$1K$2Kfacility $603professional $363

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
$524.81
Median
$575.44
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$436.52
Typical High
$794.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$851.14
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$630.96
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$575.44
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$512.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$331.13
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13

Where Arizona sits

The same service costs 2.5 times more in Delaware than in Hawaii. 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.

Arizona· 5th of 51

$437

DE $794HI $324

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.