HCPCS 65219061299 Prescription Drug - Generic
ADALIMUMAB-AACF(CF) PEN 40 MG/0.8 ML (2 PACK) Cost
Body System: General
Medicare Facility Rate
$872
CMS PFS CY2026
Medicare Non-Facility Rate
$872
Office/clinic setting
Frequently Asked Questions
How much does ADALIMUMAB-AACF(CF) PEN 40 MG/0.8 ML (2 PACK) cost?
The Medicare facility rate is $872. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does ADALIMUMAB-AACF(CF) PEN 40 MG/0.8 ML (2 PACK) cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $872.