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Lumasiran Injection

Montana rates for HCPCS J0224 · Oxlumo

Injection, lumasiran, 0.5 mg

Rates data updated October 2026.

How much does Oxlumo (lumasiran) cost?

$363per 0.5 mg

Typical negotiated rate. In Montana, October 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 $339 from a physician practice, and about $407 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
$407

The same drug, in the same amount, costs 20% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 $363
FacilityA hospital or hospital-owned outpatient department$407$363 to $417

How much rates vary

Facilitymedian $407 · 10th to 90th $331 to $447Professionalmedian $339 · 10th to 90th $79 to $457
$100$200$500$1Kfacility $407professional $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
Professional
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$363.08
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$407.38
Typical High
$457.09
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$407.38
Typical High
$457.09
Providence
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$338.84
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$331.13

Where Montana 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.

Montana· 12th of 51

$363

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.