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.
Original text from hospital filings
Inj, cipaglucosidase, 5 mg
Devils Lake, ND
See all hospitals reporting HCPCS J1203 →Price type
Altru Hospital Devils Lake’s median price of $93 is 7% below the median hospital's median price ($101), higher than 35% of the 1,118 hospitals reporting HCPCS J1203. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medica medicaid managed care plan facility · fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 7 | Aetna medicare managed care plan facility · fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $107 | $116 | $19 | 16% | — | $100 – $143 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $130 | $130 | $34 | 26% | — | $96 – $164 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
Last updated: Mar 1, 2026
See Injection of cipaglucosidase alfa, 5 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.