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Adalimumab Injection

Ohio rates for HCPCS J0135

Injection, adalimumab, 20 mg

Rates data updated July 2026.

How much does Adalimumab Injection cost?

$1,259per 20 mg

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $1,259 for each 20 mg of this drug. Most negotiated rates run $891 to $1,349.

Work out the cost of a dose

This drug is priced per 20 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,349 · 10th to 90th $891 to $3,162Professionalmedian $661 · 10th to 90th $661 to $661
$1K$2Kfacility $1,349professional $661

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$1,348.96
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28

Where Ohio sits

The same service costs 114.8 times more in Kentucky than in Montana. 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.

Ohio· 20th of 32

$1,259

KY $52,481MT $457

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.