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Sebelipase Alfa Injection

North Carolina rates for HCPCS J2840

Injection, sebelipase alfa, 1 mg

Rates data updated October 2026.

How much does Sebelipase Alfa Injection cost?

$525per mg

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $525 for each mg of this drug. The price depends on where it is billed: about $525 from a physician practice, and about $776 from a hospital or other facility.

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.

mg
In a doctor's office or clinic
$525
At a hospital outpatient department
$776

The same drug, in the same amount, costs 48% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$525$513 to $525
FacilityA hospital or hospital-owned outpatient department$776$589 to $912

How much rates vary

Facilitymedian $776 · 10th to 90th $525 to $1,096Professionalmedian $525 · 10th to 90th $513 to $617
$500$1Kfacility $776professional $525

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$645.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$524.81
Typical High
$524.81
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$257.04
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$102.33
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$75.86
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$51.29
Median
$52.48
Typical High
$52.48
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$912.01
Typical High
$1,348.96
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$660.69
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$616.60
Medcost
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$549.54
Medcost
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
United
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$660.69

Where North Carolina sits

The same service costs 1.7 times more in Arizona than in Hawaii. 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.

North Carolina· 15th of 51

$525

AZ $851HI $490

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.