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
CIPAGLUCOSIDASE ALFA-ATGA 105 MG IV SOLR
Maple Grove, MN
See all hospitals reporting HCPCS J1203 →Price type
Fairview Maple Grove Surgery Center’s median price of $96 is 5% below the median hospital's median price ($101), higher than 44% 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: 8 payers, 19 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 | Ucare mhcp fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $87 | $87 | — | — | — | $87 – $87 |
| 3 | Medica accessability fee schedule · both | $88 | $88 | — | — | — | $88 – $88 |
| 4 | Medica medicaid fee schedule · both | $88 | $88 | — | — | — | $88 – $88 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $88 | $88 | — | — | — | $88 – $88 |
| 6 | UnitedHealthcare medicare advantage fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 7 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 8 | Medica ma non-snp fee schedule · both | $95 | $95 | — | — | — | $95 – $95 |
| 9 | Medica ma snp fee schedule · both | $95 | $95 | — | — | — | $95 – $95 |
| 10 | Medica prime solution fee schedule · both | $95 | $95 | — | — | — | $95 – $95 |
| 11 | Medica vantage fee schedule · both | $95 | $95 | — | — | — | $95 – $95 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 13 | Medicaid medicaid fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 14 | Cigna commercial fee schedule · outpatient | $106 | $106 | $9 | 9% | — | $97 – $115 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 16 | UnitedHealthcare commercial fee schedule · both | $160 | $160 | — | — | — | $160 – $160 |
| 17 | Ucare ifp fee schedule · outpatient | $206 | $206 | — | — | — | $206 – $206 |
| 18 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 19 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
Last updated: May 18, 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.