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Alemtuzumab Injection, 1 mg

Montana rates for HCPCS J0202 · Lemtrada

Injection, alemtuzumab, 1 mg

Rates data updated October 2026.

How much does Lemtrada (alemtuzumab) cost?

$2,754per mg

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $2,754 for each mg of this drug. The price depends on where it is billed: about $2,754 from a physician practice, and about $3,020 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
$2,754
At a hospital outpatient department
$3,020

The same drug, in the same amount, costs 10% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$2,754$2,455 to $2,818
FacilityA hospital or hospital-owned outpatient department$3,020$2,818 to $3,162

How much rates vary

Facilitymedian $3,020 · 10th to 90th $2,455 to $4,786Professionalmedian $2,754 · 10th to 90th $79 to $3,162
$100$200$500$1K$2K$5K$10Kfacility $3,020professional $2,754

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
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,951.21
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,818.38
Typical High
$2,818.38
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$2,454.71
Median
$3,019.95
Typical High
$3,981.07
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$3,162.28
Typical High
$3,467.37
Providence
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$5,888.44
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$2,754.23
Typical High
$2,818.38
United
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
5 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,258.93
Median
$1,479.11
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$512.86
Median
$588.84
Typical High
$630.96
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$1,905.46
Median
$2,238.72
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$380.19
Median
$446.68
Typical High
$478.63
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$257.04
Median
$295.12
Typical High
$316.23

Where Montana sits

Rates are fairly even across states for this service. 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.

Montana· 6th of 51

$2,754

AK $3,020KS $2,570

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.