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Pennsylvania 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 Pennsylvania, 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 $8.91 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
$8.91

The same drug, in the same amount, costs 55% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$5.75$5.75 to $6.03
FacilityA hospital or hospital-owned outpatient department$8.91$6.76 to $13.80

How much rates vary

Facilitymedian $9 · 10th to 90th $6 to $16Professionalmedian $6 · 10th to 90th $6 to $6
$10$20facility $9professional $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
$9.77
Typical High
$15.85
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$6.31
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$6.17
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$19.95
Typical High
$21.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.17
Typical High
$6.17
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.31
Typical High
$10.23
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$8.71
Typical High
$15.85
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$8.51
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$30.20
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$6.61
Typical High
$8.13
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$6.61
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.03
Typical High
$7.08

Where Pennsylvania 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.

Pennsylvania· 15th 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.