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Isatuximab-irfc Injection

Vermont rates for HCPCS J9227 · Sarclisa

Injection, isatuximab-irfc, 10 mg

Rates data updated July 2026.

How much does Sarclisa (isatuximab) cost?

$83.18per 10 mg

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $83.18 for each 10 mg of this drug. The price depends on where it is billed: about $83.18 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
$83.18
At a hospital outpatient department
$93.33

The same drug, in the same amount, costs 12% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 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$83.18$83.18 to $89.13
FacilityA hospital or hospital-owned outpatient department$93.33$93.33 to $93.33

How much rates vary

Facilitymedian $93 · 10th to 90th $93 to $95Professionalmedian $83 · 10th to 90th $83 to $117
$100facility $93professional $83

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$93.33
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$112.20

Where Vermont 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.

Vermont· 37th of 51

$83.18

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.