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Cerliponase Alfa Injection

Virginia rates for HCPCS J0567 · Brineura

Injection, cerliponase alfa, 1 mg

Rates data updated October 2026.

How much does Brineura (cerliponase alfa) cost?

$123per mg

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $123 for each mg of this drug. The price depends on where it is billed: about $120 from a physician practice, and about $191 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
$191

The same drug, in the same amount, costs 58% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$115 to $123
FacilityA hospital or hospital-owned outpatient department$191$123 to $302

How much rates vary

Facilitymedian $191 · 10th to 90th $120 to $355Professionalmedian $120 · 10th to 90th $115 to $126
$100$200facility $191professional $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
$123.03
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$123.03
Typical High
$123.03
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$251.19
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$114.82
Typical High
$114.82
CareFirst
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$213.80
Typical High
$309.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Medcost
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$186.21
Sentara
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$123.03
Typical High
$154.88
Sentara
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$123.03
Typical High
$154.88
United
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$120.23
Typical High
$125.89

Where Virginia 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.

Virginia· 10th of 51

$123

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.