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Enfuvirtide Injection

Kentucky rates for HCPCS J1324

Injection, enfuvirtide, 1 mg

Rates data updated July 2026.

How much does Enfuvirtide Injection cost?

$2.34per mg

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $2.34 for each mg of this drug. The price depends on where it is billed: about $0.66 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 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$0.66
At a hospital outpatient department
$25.70

The same drug, in the same amount, costs 3790% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.66$0.65 to $0.66
FacilityA hospital or hospital-owned outpatient department$25.70$1.66 to $25.70

How much rates vary

Facilitymedian $26 · 10th to 90th $1 to $26Professionalmedian $1 · 10th to 90th $1 to $1
$0.5$1$2$5$10$20facility $26professional $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
$0.65
Median
$0.65
Typical High
$1.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.78
Median
$25.70
Typical High
$25.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.66
Median
$0.66
Typical High
$0.66
CareSource
Setting
Facility
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$0.45
CareSource
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.78
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$37.15
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$0.66
Median
$0.66
Typical High
$0.66

Where Kentucky 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.

Kentucky· 1st of 51

$2.34

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.