go back

Lumasiran Injection

California rates for HCPCS J0224 · Oxlumo

Injection, lumasiran, 0.5 mg

Rates data updated July 2026.

How much does Oxlumo (lumasiran) cost?

$389per 0.5 mg

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $389 for each 0.5 mg of this drug. The price depends on where it is billed: about $331 from a physician practice, and about $398 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
$331
At a hospital outpatient department
$398

The same drug, in the same amount, costs 20% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$331$331 to $562
FacilityA hospital or hospital-owned outpatient department$398$355 to $661

How much rates vary

Facilitymedian $398 · 10th to 90th $331 to $794Professionalmedian $331 · 10th to 90th $331 to $891
$100$200$500$1Kfacility $398professional $331

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
$331.13
Median
$660.69
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$389.05
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$933.25
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$331.13
Typical High
$467.74
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$575.44
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$724.44
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$812.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$354.81
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$776.25

Where California 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.

California· 8th of 51

$389

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.