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Ustekinumab Intravenous Injection

Maine rates for HCPCS J3358

Ustekinumab, for intravenous injection, 1 mg

Rates data updated July 2026.

How much does Ustekinumab Intravenous Injection cost?

$12.02per mg

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $12.02 for each mg of this drug. The price depends on where it is billed: about $11.75 from a physician practice, and about $28.84 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
$11.75
At a hospital outpatient department
$28.84

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$11.75$11.75 to $12.59
FacilityA hospital or hospital-owned outpatient department$28.84$26.92 to $28.84

How much rates vary

Facilitymedian $29 · 10th to 90th $13 to $33Professionalmedian $12 · 10th to 90th $12 to $14
$10.0$20.0$50.0facility $29professional $12

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
$26.92
Median
$28.84
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.02
Typical High
$14.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$13.49
Typical High
$37.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$14.45
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$14.13
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$28.84
Typical High
$34.67
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.30
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.59
Typical High
$18.20

Where Maine sits

The same service costs 2.7 times more in Delaware than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $12.02 · 43rd of 51
DE $31.62ND $11.75

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.