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Sutimlimab-jome Injection

North Carolina rates for HCPCS J1302 · Enjaymo

Injection, sutimlimab-jome, 10 mg

Rates data updated July 2026.

How much does Enjaymo (sutimlimab-jome) cost?

$19.05per 10 mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $19.05 for each 10 mg of this drug. The price depends on where it is billed: about $19.05 from a physician practice, and about $20.89 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 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$19.05
At a hospital outpatient department
$20.89

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$19.05$16.98 to $20.89
FacilityA hospital or hospital-owned outpatient department$20.89$19.05 to $30.90

How much rates vary

Facilitymedian $21 · 10th to 90th $17 to $42Professionalmedian $19 · 10th to 90th $17 to $24
$20$50facility $21professional $19

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
$16.98
Median
$19.95
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.05
Typical High
$23.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$37.15
Typical High
$42.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$29.51
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$21.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$19.05
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$32.36
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$24.55
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72

Where North Carolina sits

The same service costs 2.4 times more in Delaware than in Hawaii. 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.

North Carolina· 49th of 51

$19.05

DE $44.67HI $18.62

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.