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Emapalumab-lzsg Injection

South Dakota rates for HCPCS J9210 · Gamifant

Injection, emapalumab-lzsg, 1 mg

Rates data updated October 2026.

How much does Gamifant (emapalumab-lzsg) cost?

$417per mg

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $417 for each mg of this drug. The price depends on where it is billed: about $389 from a physician practice, and about $417 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
$417

The same drug, in the same amount, costs 7% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$389$380 to $427
FacilityA hospital or hospital-owned outpatient department$417$417 to $550

How much rates vary

Facilitymedian $417 · 10th to 90th $417 to $646Professionalmedian $389 · 10th to 90th $372 to $468
$500$1Kfacility $417professional $389

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$446.68
Aetna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$389.05
Typical High
$467.74
Medica
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$645.65
Typical High
$645.65
Medica
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$380.19
Typical High
$426.58
Midlands
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
United
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$426.58
Wellmark
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Wellmark
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$416.87

Where South Dakota 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.

South Dakota· 19th of 51

$417

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.