go back

Alemtuzumab Injection, 1 mg

Pennsylvania rates for HCPCS J0202 · Lemtrada

Injection, alemtuzumab, 1 mg

Rates data updated July 2026.

How much does Lemtrada (alemtuzumab) cost?

$2,455per mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,455 for each mg of this drug. The price depends on where it is billed: about $2,455 from a physician practice, and about $3,631 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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
$2,455
At a hospital outpatient department
$3,631

The same drug, in the same amount, costs 48% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,455$2,455 to $2,512
FacilityA hospital or hospital-owned outpatient department$3,631$2,455 to $6,310

How much rates vary

Facilitymedian $3,631 · 10th to 90th $2,455 to $7,079Professionalmedian $2,455 · 10th to 90th $2,455 to $2,754
$2K$5K$10Kfacility $3,631professional $2,455

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,715.35
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,691.53
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,630.27
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,073.80
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,511.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,454.71
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
Typical High
$4,168.69
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,715.35
Typical High
$6,918.31
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,311.31
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$4,786.30
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,818.38
Typical High
$5,623.41
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,454.71
Typical High
$2,951.21

Where Pennsylvania 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.

Pennsylvania· 10th of 51

$2,455

NC $2,570NY $2,344

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.