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Lumasiran Injection

Connecticut rates for HCPCS J0224 · Oxlumo

Injection, lumasiran, 0.5 mg

Rates data updated July 2026.

How much does Oxlumo (lumasiran) cost?

$372per 0.5 mg

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $372 for each 0.5 mg of this drug. The price depends on where it is billed: about $331 from a physician practice, and about $537 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
$537

The same drug, in the same amount, costs 62% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$331$331 to $339
FacilityA hospital or hospital-owned outpatient department$537$427 to $891

How much rates vary

Facilitymedian $537 · 10th to 90th $363 to $955Professionalmedian $331 · 10th to 90th $331 to $347
$500$1Kfacility $537professional $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
$363.08
Median
$676.08
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$346.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$331.13
Typical High
$354.81

Where Connecticut 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.

Connecticut· 13th of 51

$372

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.