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Lumasiran Injection

Idaho rates for HCPCS J0224 · Oxlumo

Injection, lumasiran, 0.5 mg

Rates data updated July 2026.

How much does Oxlumo (lumasiran) cost?

$363per 0.5 mg

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $363 for each 0.5 mg of this drug. The price depends on where it is billed: about $363 from a physician practice, and about $380 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
$380

The same drug, in the same amount, costs 5% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$331 to $407
FacilityA hospital or hospital-owned outpatient department$380$331 to $479

How much rates vary

Facilitymedian $380 · 10th to 90th $331 to $724Professionalmedian $363 · 10th to 90th $331 to $407
$500$1Kfacility $380professional $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
$331.13
Median
$331.13
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$363.08
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$389.05
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$371.54
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$407.38
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$363.08
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$812.83
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$407.38
Select Health
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$691.83
Select Health
Setting
Professional
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
$331.13

Where Idaho 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.

Idaho· 14th of 51

$363

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.