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Viltolarsen Injection

Iowa rates for HCPCS J1427

Injection, viltolarsen, 10 mg

Rates data updated July 2026.

How much does Viltolarsen Injection cost?

$60.26per 10 mg

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $60.26 for each 10 mg of this drug. The price depends on where it is billed: about $67.61 from a physician practice, and about $56.23 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
$67.61
At a hospital outpatient department
$56.23

The same drug, in the same amount, costs 17% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$67.61$53.70 to $67.61
FacilityA hospital or hospital-owned outpatient department$56.23$56.23 to $67.61

How much rates vary

Facilitymedian $56 · 10th to 90th $56 to $68Professionalmedian $68 · 10th to 90th $54 to $71
$100$200facility $56professional $68

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
$54.95
Median
$67.61
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$60.26
Typical High
$70.79
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$162.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$67.61
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$60.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$0.06
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$60.26
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23

Where Iowa 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.

Iowa· 11th of 51

$60.26

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.