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Viltolarsen Injection

California rates for HCPCS J1427

Injection, viltolarsen, 10 mg

Rates data updated July 2026.

How much does Viltolarsen Injection cost?

$64.57per 10 mg

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $64.57 for each 10 mg of this drug. The price depends on where it is billed: about $57.54 from a physician practice, and about $67.61 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 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$57.54
At a hospital outpatient department
$67.61

The same drug, in the same amount, costs 17% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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$57.54$56.23 to $69.18
FacilityA hospital or hospital-owned outpatient department$67.61$61.66 to $81.28

How much rates vary

Facilitymedian $68 · 10th to 90th $59 to $141Professionalmedian $58 · 10th to 90th $56 to $100
$50$100$200facility $68professional $58

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
$56.23
Median
$131.83
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$56.23
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$64.57
Typical High
$87.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$112.20
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$67.61
Typical High
$81.28
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$72.44
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$114.82
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$154.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$138.04

Where California sits

The same service costs 1.7 times more in Colorado than in Texas. 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.

California· 10th of 51

$64.57

CO $93.33TX $54.95

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.