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Evinacumab-dgnb Injection

New York rates for HCPCS J1305

Injection, evinacumab-dgnb, 5 mg

Rates data updated July 2026.

How much does Evinacumab-dgnb Injection cost?

$200per 5 mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $200 for each 5 mg of this drug. The price depends on where it is billed: about $200 from a physician practice, and about $257 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 5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$200
At a hospital outpatient department
$257

The same drug, in the same amount, costs 29% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$200 to $200
FacilityA hospital or hospital-owned outpatient department$257$200 to $331

How much rates vary

Facilitymedian $257 · 10th to 90th $200 to $437Professionalmedian $200 · 10th to 90th $195 to $257
$200$500facility $257professional $200

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
$199.53
Median
$275.42
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$478.63
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$263.03
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$831.76
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$707.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$239.88
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$204.17
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$199.53
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$302.00
Univera
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$229.09
Univera
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$199.53
Typical High
$234.42

Where New York sits

The same service costs 2.3 times more in Delaware than in North Carolina. 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.

New York· 47th of 51

$200

DE $447NC $191

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.