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Emapalumab-lzsg Injection

Virginia rates for HCPCS J9210 · Gamifant

Injection, emapalumab-lzsg, 1 mg

Rates data updated July 2026.

How much does Gamifant (emapalumab-lzsg) cost?

$407per mg

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $407 for each mg of this drug. The price depends on where it is billed: about $380 from a physician practice, and about $692 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
$692

The same drug, in the same amount, costs 82% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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 $407
FacilityA hospital or hospital-owned outpatient department$692$380 to $955

How much rates vary

Facilitymedian $692 · 10th to 90th $380 to $1,072Professionalmedian $380 · 10th to 90th $380 to $589
$500$1Kfacility $692professional $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
$812.83
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$389.05
Typical High
$407.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$776.25
Typical High
$1,318.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$645.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$588.84
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$724.44
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$457.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$616.60
Sentara
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$380.19
Typical High
$562.34
Sentara
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$380.19
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$467.74
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$407.38
Typical High
$457.09

Where Virginia 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.

Virginia· 25th of 51

$407

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.