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Enfuvirtide Injection

Iowa rates for HCPCS J1324

Injection, enfuvirtide, 1 mg

Rates data updated July 2026.

How much does Enfuvirtide Injection cost?

$0.65per mg

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $0.65 for each mg of this drug. The price depends on where it is billed: about $0.65 from a physician practice, and about $0.66 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
$0.65
At a hospital outpatient department
$0.66

The same drug, in the same amount, costs 2% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$0.65$0.51 to $0.66
FacilityA hospital or hospital-owned outpatient department$0.66$0.51 to $0.66

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $1 · 10th to 90th $1 to $1
$1$10$100facility $1professional $1

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
$0.51
Median
$0.51
Typical High
$1.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.51
Median
$0.51
Typical High
$0.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$23.99
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$398.11
Typical High
$467.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.38
Median
$0.62
Typical High
$46.77
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.48
Median
$0.66
Typical High
$0.91
Midlands
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$0.81
United
Setting
Facility
Modifier
Global
Typical Low
$0.54
Median
$0.54
Typical High
$0.54
United
Setting
Professional
Modifier
Global
Typical Low
$0.66
Median
$0.66
Typical High
$0.71
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$0.66
Median
$0.66
Typical High
$0.66

Where Iowa sits

The same service costs 4.0 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.

Iowa· 49th of 51

$0.65

KY $2.34MT $0.59

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.