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Lumasiran Injection

Texas 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 Texas, 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 $331 from a physician practice, and about $468 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
$331
At a hospital outpatient department
$468

The same drug, in the same amount, costs 41% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$331$331 to $339
FacilityA hospital or hospital-owned outpatient department$468$339 to $851

How much rates vary

Facilitymedian $468 · 10th to 90th $339 to $1,072Professionalmedian $331 · 10th to 90th $331 to $339
$500$1K$2Kfacility $468professional $331

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
$363.08
Typical High
$794.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$346.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$169.82
Median
$169.82
Typical High
$173.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$67.61
Median
$67.61
Typical High
$69.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$50.12
Median
$51.29
Typical High
$52.48
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$33.88
Median
$33.88
Typical High
$34.67
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$660.69
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Moda Health
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$363.08
Typical High
$794.33
Moda Health
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$338.84
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$162.18
Median
$165.96
Typical High
$169.82
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$66.07
Median
$66.07
Typical High
$67.61
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$48.98
Median
$50.12
Typical High
$50.12
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$33.11
Median
$33.11
Typical High
$33.88
Providence
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$478.63
Typical High
$2,884.03
Providence
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$331.13

Where Texas 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.

Texas· 18th 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.