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Sebelipase Alfa Injection

Pennsylvania 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 Pennsylvania, 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 $589 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
$589

The same drug, in the same amount, costs 12% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$589$525 to $1,905

How much rates vary

Facilitymedian $589 · 10th to 90th $513 to $1,995Professionalmedian $525 · 10th to 90th $513 to $550
$500$1K$2K$5Kfacility $589professional $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
$831.76
Aetna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$512.86
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$870.96
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$776.25
Typical High
$831.76
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
United
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
United
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$707.95

Where Pennsylvania 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.

Pennsylvania· 22nd 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.