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Isatuximab-irfc Injection

North Carolina rates for HCPCS J9227 · Sarclisa

Injection, isatuximab-irfc, 10 mg

Rates data updated July 2026.

How much does Sarclisa (isatuximab) cost?

$89.13per 10 mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $89.13 for each 10 mg of this drug. The price depends on where it is billed: about $89.13 from a physician practice, and about $93.33 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
$89.13
At a hospital outpatient department
$93.33

The same drug, in the same amount, costs 5% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$89.13$83.18 to $93.33
FacilityA hospital or hospital-owned outpatient department$93.33$81.28 to $115

How much rates vary

Facilitymedian $93 · 10th to 90th $72 to $151Professionalmedian $89 · 10th to 90th $78 to $102
$100$200facility $93professional $89

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
$72.44
Median
$95.50
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$83.18
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$134.90
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$104.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$125.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$89.13
Typical High
$95.50
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54

Where North Carolina 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.

North Carolina· 3rd of 51

$89.13

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.