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Lumasiran Injection

Idaho rates for HCPCS J0224 · Oxlumo

Injection, lumasiran, 0.5 mg

Rates data updated October 2026.

How much does Oxlumo (lumasiran) cost?

$407per 0.5 mg

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $407 for each 0.5 mg of this drug. The price depends on where it is billed: about $380 from a physician practice, and about $417 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
$380
At a hospital outpatient department
$417

The same drug, in the same amount, costs 10% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$380$339 to $417
FacilityA hospital or hospital-owned outpatient department$417$380 to $537

How much rates vary

Facilitymedian $417 · 10th to 90th $339 to $794Professionalmedian $380 · 10th to 90th $331 to $417
$500$1Kfacility $417professional $380

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
Professional
Modifier
None
Typical Low
$338.84
Median
$416.87
Typical High
$416.87
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$489.78
Typical High
$812.83
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$380.19
Typical High
$851.14
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Moda Health
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$416.87
Typical High
$416.87
Moda Health
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$407.38
Typical High
$416.87
Molina
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$380.19
Typical High
$501.19
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$389.05
Typical High
$416.87
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$478.63
Typical High
$812.83
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Select Health
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$707.95
Select Health
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$478.63
United
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$524.81

Where Idaho 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.

Idaho· 3rd of 51

$407

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.