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Enfuvirtide Injection

Pennsylvania rates for HCPCS J1324

Injection, enfuvirtide, 1 mg

Rates data updated July 2026.

How much does Enfuvirtide Injection cost?

$0.68per mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $0.68 for each mg of this drug. The price depends on where it is billed: about $0.68 from a physician practice, and about $1.10 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
$0.68
At a hospital outpatient department
$1.10

The same drug, in the same amount, costs 62% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$0.68$0.68 to $0.68
FacilityA hospital or hospital-owned outpatient department$1.10$0.68 to $1.74

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $1
$1$10$100$1Kfacility $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
$0.68
Median
$1.10
Typical High
$2.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.68
Typical High
$0.68
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$0.66
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$0.66
Median
$0.66
Typical High
$0.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$2.40
Typical High
$2.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.68
Typical High
$0.68
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$1.02
Typical High
$1.91
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.68
Typical High
$1.74
United
Setting
Professional
Modifier
Global
Typical Low
$0.66
Median
$0.66
Typical High
$0.91

Where Pennsylvania 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.

Pennsylvania· 31st of 51

$0.68

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.