Avalglucosidase alfa injection, 4 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

AVALGLUCOSIDASE ALFA-NGPT 100 MG INTRAVENOUS SOLUTION

Payers reporting HCPCS J0219

Payer pricing summary

Low

$43

Average

$5.0k

Median

$2.1k

High

$33.2k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Caresource fee schedule · outpatient · +11 other terms	76	$93	$111	$205	185%	221	$1 – $2.3k
2	UnitedHealthcare fee schedule · outpatient · +25 other terms	587	$122	$820	$4.6k	555%	—	$1 – $35.6k
3	Aetna fee schedule · outpatient · +21 other terms	380	$88	$1.1k	$6.1k	563%	—	$1 – $45.7k
4	Cigna fee schedule · outpatient · +20 other terms	345	$117	$1.4k	$6.6k	462%	—	$65 – $41.2k
5	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	338	$122	$643	$3.6k	564%	—	$1 – $38.4k
6	Humana fee schedule · outpatient · +20 other terms	320	$79	$468	$3.3k	704%	—	$1 – $34.2k
7	Molina fee schedule · outpatient · +21 other terms	129	$89	$520	$3.8k	723%	—	$1 – $35.1k
8	WellCare fee schedule · outpatient · +13 other terms	124	$81	$88	$25	28%	—	$73 – $182
9	Anthem fee schedule · outpatient · +20 other terms	121	$111	$1.6k	$7.2k	440%	—	$70 – $38.4k
10	Devoted fee schedule · outpatient · +6 other terms	67	$81	$105	$216	206%	—	$74 – $2.0k
11	Kaiser fee schedule · outpatient · +16 other terms	64	$93	$198	$565	286%	—	$65 – $5.5k
12	Ambetter facility · fee schedule · outpatient · +12 other terms	51	$142	$152	$34	23%	—	$78 – $199
13	Medica fee schedule · outpatient · +16 other terms	36	$1.2k	$1.9k	$4.3k	226%	—	$71 – $34.4k
14	MultiPlan fee schedule · outpatient · +13 other terms	36	$1.8k	$2.7k	$3.9k	145%	—	$81 – $14.7k
15	Highmark facility · fee schedule · outpatient · +10 other terms	34	$102	$107	$56	53%	—	$31 – $368
16	Optum fee schedule · outpatient · +20 other terms	33	$79	$205	$621	303%	—	$72 – $3.9k
17	Bcbs Tx fee schedule · outpatient	31	$275	$256	$113	44%	—	$73 – $490
18	Clover fee schedule · outpatient · +5 other terms	29	$85	$84	$5	6%	—	$77 – $92
19	Medicare fee schedule · outpatient · +6 other terms	28	$79	$78	$1	1%	—	$78 – $81
20	Oscar facility · fee schedule · outpatient · +13 other terms	27	$103	$113	$22	19%	—	$81 – $150
21	Regence facility · fee schedule · outpatient · +10 other terms	24	$85	$101	$46	46%	—	$69 – $230
22	Aetna Better Health fee schedule · outpatient · +14 other terms	23	$81	$82	$4	4%	—	$78 – $89
23	Healthpartners fee schedule · outpatient · +8 other terms	22	$93	$92	$4	5%	—	$79 – $95
24	Medical Mutual facility · fee schedule · outpatient · +6 other terms	21	$151	$169	$80	47%	—	$44 – $345
25	Amerihealth Caritas facility · fee schedule · outpatient · +9 other terms	20	$84	$90	$20	23%	—	$80 – $154

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