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Pertuzumab Injection, per 10 mg

Maine 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 Maine, 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 $151 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
$151

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$60.26$60.26 to $61.66
FacilityA hospital or hospital-owned outpatient department$151$141 to $151

How much rates vary

Facilitymedian $151 · 10th to 90th $69 to $174Professionalmedian $60 · 10th to 90th $60 to $69
$100facility $151professional $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
$141.25
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$66.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$69.18
Typical High
$190.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$61.66
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$151.36
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$63.10
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$61.66
Typical High
$85.11

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· 33rd 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.