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Emapalumab-lzsg Injection

Illinois rates for HCPCS J9210 · Gamifant

Injection, emapalumab-lzsg, 1 mg

Rates data updated October 2026.

How much does Gamifant (emapalumab-lzsg) cost?

$389per mg

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $389 for each mg of this drug. The price depends on where it is billed: about $389 from a physician practice, and about $794 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
$389
At a hospital outpatient department
$794

The same drug, in the same amount, costs 104% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$389$389 to $427
FacilityA hospital or hospital-owned outpatient department$794$525 to $1,047

How much rates vary

Facilitymedian $794 · 10th to 90th $389 to $1,514Professionalmedian $389 · 10th to 90th $380 to $692
$100$200$500$1K$2Kfacility $794professional $389

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
Facility
Modifier
None
Typical Low
$354.81
Median
$389.05
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$794.33
Typical High
$933.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Hally Health
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$446.68
Typical High
$1,659.59
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$891.25
United
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$407.38
Typical High
$426.58

Where Illinois 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.

Illinois· 51st of 51

$389

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.