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Pegloticase Injection

Rhode Island rates for HCPCS J2507 · Krystexxa

Injection, pegloticase, 1 mg

Rates data updated October 2026.

How much does Krystexxa (pegloticase) cost?

$30,415per dose

One 8 mg dose, at the doctor's office rate. In Rhode Island, October 2026.

Negotiated ratewhat insurers pay per mg of the drug
$3,802 / mg
Average doseacross Medicare claims, discarded units included
× 8 mg
One dosedrug only; giving it and the visit are billed separately
$30,415

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it. Prefilled with the average administration in Medicare claims, discarded units included.

mg
In a doctor's office or clinic
$30,415
At a hospital outpatient department
$31,124

The same drug, in the same amount, costs 2% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Where the price changes

Given atPer mgPer 8 mg dose
Doctor's office or clinic$3,802$30,415
Hospital outpatient department$3,890$31,124

How much rates vary

Facilitymedian $3,890 · 10th to 90th $3,802 to $5,248Professionalmedian $3,802 · 10th to 90th $3,802 to $4,074
$5Kfacility $3,890professional $3,802

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$4,073.80
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$5,128.61
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89

Where Rhode Island sits

The same service costs 11.0 times more in Alabama than in Oklahoma. 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.

Rhode Island· 49th of 51

$3,802

AL $23,442OK $2,138

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.