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Sutimlimab-jome Injection

New York rates for HCPCS J1302 · Enjaymo

Injection, sutimlimab-jome, 10 mg

Rates data updated July 2026.

How much does Enjaymo (sutimlimab-jome) cost?

$19.50per 10 mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $19.50 for each 10 mg of this drug. The price depends on where it is billed: about $19.50 from a physician practice, and about $25.70 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
$19.50
At a hospital outpatient department
$25.70

The same drug, in the same amount, costs 32% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$19.50$19.50 to $19.95
FacilityA hospital or hospital-owned outpatient department$25.70$19.50 to $32.36

How much rates vary

Facilitymedian $26 · 10th to 90th $19 to $44Professionalmedian $19 · 10th to 90th $19 to $28
$20$50facility $26professional $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
$19.50
Median
$27.54
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$46.77
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$20.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$25.70
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$83.18
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$23.99
Typical High
$70.79
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$23.99
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.95
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$22.91
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$20.89
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$19.05
Typical High
$38.90
Univera
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$21.88
Univera
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$22.39

Where New York 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.

New York· 46th of 51

$19.50

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.