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Cerliponase Alfa Injection

Iowa rates for HCPCS J0567 · Brineura

Injection, cerliponase alfa, 1 mg

Rates data updated October 2026.

How much does Brineura (cerliponase alfa) cost?

$120per mg

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $120 for each mg of this drug. The price depends on where it is billed: about $120 from a physician practice, and about $120 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$120
At a hospital outpatient department
$120

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$120$117 to $126
FacilityA hospital or hospital-owned outpatient department$120$120 to $126

How much rates vary

Facilitymedian $120 · 10th to 90th $120 to $145Professionalmedian $120 · 10th to 90th $115 to $145
$1$5$20$100$500facility $120professional $120

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
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$123.03
Typical High
$144.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$57.54
Median
$61.66
Typical High
$72.44
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.91
Median
$24.55
Typical High
$28.84
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$17.38
Median
$18.20
Typical High
$21.38
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.48
Median
$12.30
Typical High
$14.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$147.91
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$213.80
Medica
Setting
Facility
Modifier
None
Typical Low
$1.00
Median
$138.04
Typical High
$501.19
Medica
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$125.89
Midlands
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$125.89
Wellmark
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23

Where Iowa sits

The same service costs 1.7 times more in Arizona 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.

Iowa· 43rd of 51

$120

AZ $195HI $112

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.