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Maine rates for HCPCS J9295

Injection, necitumumab, 1 mg

Rates data updated July 2026.

How much does HCPCS J9295 cost?

$5.75per mg

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $5.75 for each mg of this drug. The price depends on where it is billed: about $5.75 from a physician practice, and about $14.45 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 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$5.75
At a hospital outpatient department
$14.45

The same drug, in the same amount, costs 151% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$5.75$5.75 to $5.75
FacilityA hospital or hospital-owned outpatient department$14.45$13.18 to $14.45

How much rates vary

Facilitymedian $14 · 10th to 90th $7 to $17Professionalmedian $6 · 10th to 90th $6 to $6
$10facility $14professional $6

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
$13.18
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$6.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$6.61
Typical High
$18.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$8.13
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$14.45
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$7.41

Where Maine 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.

Maine· 32nd of 51

$5.75

NY $6.17NH $5.75

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.