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Pertuzumab Injection, per 10 mg

Indiana rates for HCPCS J9316 · Phesgo

Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg

Rates data updated July 2026.

How much does Phesgo cost?

$60.26per 10 mg

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $60.26 for each 10 mg of this drug. The price depends on where it is billed: about $60.26 from a physician practice, and about $91.20 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 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$60.26
At a hospital outpatient department
$91.20

The same drug, in the same amount, costs 51% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$60.26$60.26 to $63.10
FacilityA hospital or hospital-owned outpatient department$91.20$79.43 to $120

How much rates vary

Facilitymedian $91 · 10th to 90th $60 to $170Professionalmedian $60 · 10th to 90th $60 to $72
$50$100$200facility $91professional $60

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
$60.26
Median
$125.89
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$69.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$91.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$112.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$64.57
Typical High
$72.44

Where Indiana 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.

Indiana· 30th of 51

$60.26

NY $69.18NH $60.26

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.