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New York rates for HCPCS J9295

Injection, necitumumab, 1 mg

Rates data updated July 2026.

How much does HCPCS J9295 cost?

$6.17per mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $6.17 for each mg of this drug. The price depends on where it is billed: about $6.17 from a physician practice, and about $7.41 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
$6.17
At a hospital outpatient department
$7.41

The same drug, in the same amount, costs 20% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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$6.17$5.75 to $6.17
FacilityA hospital or hospital-owned outpatient department$7.41$5.75 to $10.72

How much rates vary

Facilitymedian $7 · 10th to 90th $6 to $13Professionalmedian $6 · 10th to 90th $6 to $7
$10$20facility $7professional $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
$5.75
Median
$7.94
Typical High
$13.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$6.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$6.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$6.03
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$7.59
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$6.17
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$7.08
Typical High
$19.50
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.17
Typical High
$6.17
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.89
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.89
Typical High
$5.89
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$11.75
Typical High
$53,703.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.17
Typical High
$7.24
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.17
Typical High
$7.59
Univera
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$6.61
Univera
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.89
Typical High
$5.89

Where New York 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.

New York· 1st of 51

$6.17

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.