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Guselkumab Injection

Montana rates for HCPCS J1628 · Tremfya

Injection, guselkumab, 1 mg

Rates data updated October 2026.

How much does Tremfya (guselkumab) cost?

$79.43per mg

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $79.43 for each mg of this drug. The price depends on where it is billed: about $72.44 from a physician practice, and about $83.18 from a hospital or other facility.

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
$72.44
At a hospital outpatient department
$83.18

The same drug, in the same amount, costs 15% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$72.44$67.61 to $81.28
FacilityA hospital or hospital-owned outpatient department$83.18$81.28 to $85.11

How much rates vary

Facilitymedian $83 · 10th to 90th $68 to $135Professionalmedian $72 · 10th to 90th $68 to $91
$100$200facility $83professional $72

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$72.44
Typical High
$100.00
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$223.87
Typical High
$288.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$81.28
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$83.18
Typical High
$109.65
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$83.18
Typical High
$91.20
Providence
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Providence
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61

Where Montana sits

The same service costs 2.0 times more in Oklahoma than in New Mexico. 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.

Montana· 11th of 51

$79.43

OK $135NM $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.