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Pegloticase Injection

West Virginia rates for HCPCS J2507 · Krystexxa

Injection, pegloticase, 1 mg

Rates data updated October 2026.

How much does Krystexxa (pegloticase) cost?

$31,124per dose

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

Negotiated ratewhat insurers pay per mg of the drug
$3,890 / mg
Average doseacross Medicare claims, discarded units included
× 8 mg
One dosedrug only; giving it and the visit are billed separately
$31,124

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
$31,124
At a hospital outpatient department
$39,182

The same drug, in the same amount, costs 26% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

Where the price changes

Given atPer mgPer 8 mg dose
Doctor's office or clinic$3,890$31,124
Hospital outpatient department$4,898$39,182

How much rates vary

Facilitymedian $4,898 · 10th to 90th $3,890 to $7,413Professionalmedian $3,890 · 10th to 90th $3,802 to $5,623
$5K$10Kfacility $4,898professional $3,890

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
Facility
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,981.07
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$5,888.44
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$16,218.10
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
$5,623.41
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Highmark BCBS
Setting
Facility
Modifier
JZ · No drug discarded
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54

Where West Virginia 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.

West Virginia· 42nd of 51

$3,890

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.