HCPCS J0491

Injection, anifrolumab-fnia, 1 mg

Current codeInjection - Monoclonal Antibodies41 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS J0491 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$19.18 – $14,5244 plans$10,764$13,455
Highline Medical CenterBurienFile dated 2026-02-28—$8,764$28,700
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$35.67$89.16
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$15,461$22,087
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$15,461$22,087
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$16,636$23,765
Seattle Children's HospitalSeattle$6,325 – $8,00012 plans$24,608$24,608
Skagit Valley HospitalMount Vernon$1,944 – $2,3224 plans$10,764$13,455
St Anthony HospitalGig HarborFile dated 2026-02-28—$8,729$28,700
St Clare HospitalLakewoodFile dated 2026-02-28—$8,273$28,700
St Elizabeth HospitalEnumclawFile dated 2026-02-28$8,036 – $9,5205 plans$10,142$28,700
St Francis Community HospitalFederal WayFile dated 2026-02-28—$9,007$28,700
St Joseph Medical CenterTacomaFile dated 2026-02-28—$9,505$28,700
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$12,667$28,700
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$29.38$73.44
Virginia Mason Medical CenterSeattle—$31.76$62.28
Yakima Valley MemorialYakimaFile dated 2026-08-27—$29.33$73.31

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$18.46 (APC 9434)
Surgery center payment (national)
$18.46