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Emapalumab-lzsg Injection

New York rates for HCPCS J9210 · Gamifant

Injection, emapalumab-lzsg, 1 mg

Rates data updated July 2026.

How much does Gamifant (emapalumab-lzsg) cost?

$389per mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $389 for each mg of this drug. The price depends on where it is billed: about $380 from a physician practice, and about $501 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
$501

The same drug, in the same amount, costs 32% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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$501$389 to $631

How much rates vary

Facilitymedian $501 · 10th to 90th $380 to $891Professionalmedian $380 · 10th to 90th $380 to $525
$500$1Kfacility $501professional $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
$380.19
Median
$537.03
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$912.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$380.19
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$1,621.81
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$1,380.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$467.74
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$407.38
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$478.63
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$407.38
Typical High
$602.56
Univera
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$446.68
Univera
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$457.09

Where New York 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.

New York· 37th of 51

$389

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.