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Emapalumab-lzsg Injection

Maine rates for HCPCS J9210 · Gamifant

Injection, emapalumab-lzsg, 1 mg

Rates data updated July 2026.

How much does Gamifant (emapalumab-lzsg) cost?

$398per mg

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $398 for each mg of this drug. The price depends on where it is billed: about $380 from a physician practice, and about $955 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
$380
At a hospital outpatient department
$955

The same drug, in the same amount, costs 151% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$380$380 to $398
FacilityA hospital or hospital-owned outpatient department$955$891 to $955

How much rates vary

Facilitymedian $955 · 10th to 90th $447 to $1,096Professionalmedian $380 · 10th to 90th $380 to $468
$500$1Kfacility $955professional $380

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
$891.25
Median
$954.99
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$467.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$436.52
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$467.74
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$954.99
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$776.25

Where Maine sits

The same service costs 2.5 times more in Delaware than in Hawaii. 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.

Maine· 31st of 51

$398

DE $933HI $372

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.