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Lumasiran Injection

Iowa rates for HCPCS J0224 · Oxlumo

Injection, lumasiran, 0.5 mg

Rates data updated October 2026.

How much does Oxlumo (lumasiran) cost?

$331per 0.5 mg

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $331 for each 0.5 mg of this drug. The price depends on where it is billed: about $339 from a physician practice, and about $331 from a hospital or other facility.

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
$339
At a hospital outpatient department
$331

The same drug, in the same amount, costs 2% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$339$331 to $380
FacilityA hospital or hospital-owned outpatient department$331$331 to $380

How much rates vary

Facilitymedian $331 · 10th to 90th $331 to $389Professionalmedian $339 · 10th to 90th $331 to $427
$1$10$100$1Kfacility $331professional $339

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$389.05
Typical High
$489.78
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$169.82
Median
$194.98
Typical High
$245.47
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$67.61
Median
$79.43
Typical High
$100.00
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$50.12
Median
$58.88
Typical High
$74.13
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$33.88
Median
$38.90
Typical High
$48.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$169.82
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$67.61
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$50.12
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$33.88
Median
$38.90
Typical High
$38.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$380.19
Typical High
$426.58
Hally Health
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$331.13
Typical High
$616.60
Medica
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$380.19
Typical High
$562.34
Medica
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$416.87
Midlands
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$426.58
Typical High
$426.58
United
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$346.74
Wellmark
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$331.13

Where Iowa sits

The same service costs 1.5 times more in Arizona than in Rhode Island. 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.

Iowa· 46th of 51

$331

AZ $513RI $331

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.