go back

Lumasiran Injection

Pennsylvania rates for HCPCS J0224 · Oxlumo

Injection, lumasiran, 0.5 mg

Rates data updated July 2026.

How much does Oxlumo (lumasiran) cost?

$339per 0.5 mg

Typical negotiated rate. In Pennsylvania, July 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 $331 from a physician practice, and about $501 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
$331
At a hospital outpatient department
$501

The same drug, in the same amount, costs 51% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$331$331 to $355
FacilityA hospital or hospital-owned outpatient department$501$331 to $851

How much rates vary

Facilitymedian $501 · 10th to 90th $331 to $955Professionalmedian $331 · 10th to 90th $331 to $501
$500$1K$2Kfacility $501professional $331

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
$501.19
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$645.65
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$354.81
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,148.15
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$562.34
Typical High
$562.34
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$933.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$851.14
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$467.74
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$363.08
United
Setting
Facility
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
$457.09

Where Pennsylvania 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.

Pennsylvania· 30th of 51

$339

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.