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Enfuvirtide Injection

Ohio rates for HCPCS J1324

Injection, enfuvirtide, 1 mg

Rates data updated July 2026.

How much does Enfuvirtide Injection cost?

$1.32per mg

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1.32 for each mg of this drug. The price depends on where it is billed: about $0.81 from a physician practice, and about $1.55 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
$0.81
At a hospital outpatient department
$1.55

The same drug, in the same amount, costs 91% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$0.81$0.66 to $21.38
FacilityA hospital or hospital-owned outpatient department$1.55$0.81 to $1.78

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $1 to $28
$1$2$5$10$20$50$100facility $2professional $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
$1.74
Typical High
$2.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.66
Typical High
$1.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$1.41
Typical High
$4.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$21.38
Typical High
$35.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$0.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1.70
Typical High
$2.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.68
Typical High
$0.79
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1.70
Typical High
$2.09
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.68
Typical High
$0.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.78
Median
$1.10
Typical High
$1.15
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$0.71
Median
$0.95
Typical High
$1.62
United
Setting
Facility
Modifier
Global
Typical Low
$0.40
Median
$0.71
Typical High
$0.71
United
Setting
Professional
Modifier
Global
Typical Low
$0.66
Median
$0.66
Typical High
$0.71

Where Ohio 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.

Ohio· 2nd of 51

$1.32

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.