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Emapalumab-lzsg Injection

Tennessee 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 physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $389 for each mg of this drug. Most negotiated rates run $389 to $447.

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

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $490 · 10th to 90th $437 to $646Professionalmedian $389 · 10th to 90th $380 to $407
$500$1Kfacility $490professional $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
$389.05
Median
$478.63
Typical High
$575.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$407.38
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$194.98
Median
$194.98
Typical High
$204.17
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$79.43
Median
$79.43
Typical High
$81.28
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$58.88
Median
$58.88
Typical High
$60.26
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$38.90
Median
$38.90
Typical High
$40.74
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$489.78
Typical High
$645.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
United
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$407.38
Typical High
$489.78

Where Tennessee 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.

Tennessee· 39th 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.