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Emapalumab-lzsg Injection

Idaho rates for HCPCS J9210 · Gamifant

Injection, emapalumab-lzsg, 1 mg

Rates data updated October 2026.

How much does Gamifant (emapalumab-lzsg) cost?

$479per mg

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $479 for each mg of this drug. The price depends on where it is billed: about $447 from a physician practice, and about $490 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
$447
At a hospital outpatient department
$490

The same drug, in the same amount, costs 10% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$447$389 to $490
FacilityA hospital or hospital-owned outpatient department$490$447 to $692

How much rates vary

Facilitymedian $490 · 10th to 90th $389 to $933Professionalmedian $447 · 10th to 90th $380 to $490
$500$1Kfacility $490professional $447

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
$389.05
Median
$489.78
Typical High
$489.78
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$630.96
Typical High
$933.25
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$630.96
Typical High
$630.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$446.68
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Moda Health
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$489.78
Typical High
$489.78
Moda Health
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$478.63
Typical High
$489.78
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$446.68
Typical High
$575.44
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$457.09
Typical High
$489.78
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$575.44
Typical High
$933.25
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Select Health
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$831.76
Select Health
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$562.34
United
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$616.60

Where Idaho sits

The same service costs 1.9 times more in Texas than in Illinois. 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.

Idaho· 4th of 51

$479

TX $741IL $389

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.