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Guselkumab Injection

New Mexico rates for HCPCS J1628 · Tremfya

Injection, guselkumab, 1 mg

Rates data updated October 2026.

How much does Tremfya (guselkumab) cost?

$67.61per mg

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $67.61 for each mg of this drug. The price depends on where it is billed: about $67.61 from a physician practice, and about $427 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
$67.61
At a hospital outpatient department
$427

The same drug, in the same amount, costs 531% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$67.61$67.61 to $67.61
FacilityA hospital or hospital-owned outpatient department$427$141 to $537

How much rates vary

Facilitymedian $427 · 10th to 90th $68 to $661Professionalmedian $68 · 10th to 90th $68 to $79
$2$10$50$200facility $427professional $68

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$85.11
Typical High
$93.33
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$501.19
Typical High
$660.69
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$1.70
Median
$1.70
Typical High
$79.43
Cigna
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$134.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Providence
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$134.90
Providence
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
United
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61

Where New Mexico 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.

New Mexico· 51st of 51

$67.61

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.