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Isatuximab-irfc Injection

Michigan rates for HCPCS J9227 · Sarclisa

Injection, isatuximab-irfc, 10 mg

Rates data updated July 2026.

How much does Sarclisa (isatuximab) cost?

$85.11per 10 mg

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $85.11 for each 10 mg of this drug. The price depends on where it is billed: about $85.11 from a physician practice, and about $155 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 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$85.11
At a hospital outpatient department
$155

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 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$85.11$83.18 to $85.11
FacilityA hospital or hospital-owned outpatient department$155$102 to $240

How much rates vary

Facilitymedian $155 · 10th to 90th $85 to $269Professionalmedian $85 · 10th to 90th $83 to $93
$100$200$500facility $155professional $85

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
$85.11
Median
$151.36
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$85.11
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$186.21
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$85.11
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$95.50
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$208.93
Typical High
$269.15
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$85.11
Typical High
$112.20
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$91.20
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$89.13
Typical High
$100.00

Where Michigan sits

Rates are fairly even across states for this service. 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.

Michigan· 23rd of 51

$85.11

IA $91.20ME $83.18

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.