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Lumasiran Injection

Kentucky rates for HCPCS J0224 · Oxlumo

Injection, lumasiran, 0.5 mg

Rates data updated October 2026.

How much does Oxlumo (lumasiran) cost?

$339per 0.5 mg

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $339 for each 0.5 mg of this drug. The price depends on where it is billed: about $339 from a physician practice, and about $398 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
$398

The same drug, in the same amount, costs 17% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$339$331 to $339
FacilityA hospital or hospital-owned outpatient department$398$339 to $398

How much rates vary

Facilitymedian $398 · 10th to 90th $331 to $676Professionalmedian $339 · 10th to 90th $331 to $525
$500$1Kfacility $398professional $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
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$398.11
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$338.84
Typical High
$338.84
CareSource
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$524.81
CareSource
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$346.74
Typical High
$457.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$436.52
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$1,380.38
Typical High
$1,380.38
United
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$331.13

Where Kentucky 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.

Kentucky· 27th of 51

$339

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.