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Guselkumab Injection

Maine rates for HCPCS J1628 · Tremfya

Injection, guselkumab, 1 mg

Rates data updated July 2026.

How much does Tremfya (guselkumab) cost?

$70.79per mg

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $70.79 for each mg of this drug. The price depends on where it is billed: about $69.18 from a physician practice, and about $170 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
$69.18
At a hospital outpatient department
$170

The same drug, in the same amount, costs 145% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$69.18$67.61 to $72.44
FacilityA hospital or hospital-owned outpatient department$170$89.13 to $170

How much rates vary

Facilitymedian $170 · 10th to 90th $71 to $170Professionalmedian $69 · 10th to 90th $68 to $81
$100$200facility $170professional $69

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
$70.79
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$70.79
Typical High
$81.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$213.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$83.18
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$81.28
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$169.82
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$72.44
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$72.44
Typical High
$104.71

Where Maine sits

The same service costs 1.9 times more in Oklahoma than in Washington, DC. 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.

Maine· 38th of 51

$70.79

OK $126DC $67.61

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.