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Pertuzumab Injection, per 10 mg

West Virginia 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 West Virginia, 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 $275 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
$275

The same drug, in the same amount, costs 357% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 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$275$67.61 to $525

How much rates vary

Facilitymedian $275 · 10th to 90th $60 to $525Professionalmedian $60 · 10th to 90th $60 to $69
$100$200$500facility $275professional $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
$275.42
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$63.10
CareSource
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
CareSource
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$83.18
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$257.04
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$67.61
Typical High
$75.86

Where West Virginia 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.

West Virginia· 49th 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.