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Viltolarsen Injection

Pennsylvania rates for HCPCS J1427

Injection, viltolarsen, 10 mg

Rates data updated July 2026.

How much does Viltolarsen Injection cost?

$57.54per 10 mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $57.54 for each 10 mg of this drug. The price depends on where it is billed: about $57.54 from a physician practice, and about $89.13 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
$89.13

The same drug, in the same amount, costs 55% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 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$57.54 to $57.54
FacilityA hospital or hospital-owned outpatient department$89.13$57.54 to $148

How much rates vary

Facilitymedian $89 · 10th to 90th $58 to $200Professionalmedian $58 · 10th to 90th $58 to $58
$50$100$200$500$1K$2K$5Kfacility $89professional $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
$57.54
Median
$89.13
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$56.23
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$199.53
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$87.10
Typical High
$162.18
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$77.62

Where Pennsylvania 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.

Pennsylvania· 31st of 51

$57.54

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.