FDFairDoctor.org
Home/Procedures/Injection Anifrolumab-fnia 1 Mg
HCPCS J0491Medical Service

Injection Anifrolumab-fnia 1 Mg

Injection, anifrolumab-fnia, 1 mg. Clinical pricing breakdown and utilization metrics across 6 practicing doctors nationwide.

$48.60
Peer Median Charge
Gross billed rate
$15.55
Standard Baseline
Customary allowable
3.1x
National Markup
Charge vs baseline
6
Active Physicians
Billing this code
Planning care or already received a bill for CPT J0491?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $48.60. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $15.55 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:
  • "Does Dr. [Name] participate in my specific insurance plan network?"
  • "What is the total self-pay or cash rate for code J0491 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"