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Viltolarsen Injection

South Carolina 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 South Carolina, 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 $75.86 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
$75.86

The same drug, in the same amount, costs 32% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$54.95 to $57.54
FacilityA hospital or hospital-owned outpatient department$75.86$54.95 to $123

How much rates vary

Facilitymedian $76 · 10th to 90th $54 to $224Professionalmedian $58 · 10th to 90th $55 to $78
$50$100$200facility $76professional $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
$54.95
Median
$54.95
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$70.79
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$66.07
Typical High
$74.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$61.66

Where South Carolina 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.

South Carolina· 30th 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.