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Enfuvirtide Injection

New York rates for HCPCS J1324

Injection, enfuvirtide, 1 mg

Rates data updated July 2026.

How much does Enfuvirtide Injection cost?

$0.66per mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $0.66 for each mg of this drug. The price depends on where it is billed: about $0.66 from a physician practice, and about $0.68 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
$0.68

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 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$0.66$0.65 to $0.68
FacilityA hospital or hospital-owned outpatient department$0.68$0.65 to $0.83

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $1
$0.5$1$2$5$10$20$50facility $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
$0.65
Median
$0.68
Typical High
$1.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.55
Median
$0.65
Typical High
$0.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.66
Median
$0.66
Typical High
$0.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$0.72
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.68
Typical High
$37.15
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$0.68
Typical High
$1.17
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.68
Typical High
$0.83
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$0.71
Typical High
$0.74
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.71
Typical High
$0.71
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$0.36
Median
$0.36
Typical High
$0.68
United
Setting
Professional
Modifier
Global
Typical Low
$0.66
Median
$0.68
Typical High
$1.23
Univera
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$0.71
Typical High
$0.78
Univera
Setting
Professional
Modifier
Global
Typical Low
$0.51
Median
$0.71
Typical High
$0.83

Where New York 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.

New York· 37th of 51

$0.66

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.