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Lumasiran Injection

Vermont 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 physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $339 for each 0.5 mg of this drug. Most negotiated rates run $339 to $372.

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

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $372 · 10th to 90th $372 to $380Professionalmedian $339 · 10th to 90th $331 to $372
$500facility $372professional $339

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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
$338.84
Typical High
$338.84
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$371.54
United
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$331.13
Typical High
$354.81

Where Vermont 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.

Vermont· 19th 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.