go back

Margetuximab-cmkb Injection

Georgia rates for HCPCS J9353 · Margenza

Injection, margetuximab-cmkb, 5 mg

Rates data updated July 2026.

How much does Margenza (margetuximab-cmkb) cost?

$53.70per 5 mg

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $53.70 for each 5 mg of this drug. The price depends on where it is billed: about $53.70 from a physician practice, and about $97.72 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 5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$53.70
At a hospital outpatient department
$97.72

The same drug, in the same amount, costs 82% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$53.70$53.70 to $54.95
FacilityA hospital or hospital-owned outpatient department$97.72$53.70 to $148

How much rates vary

Facilitymedian $98 · 10th to 90th $54 to $269Professionalmedian $54 · 10th to 90th $54 to $65
$50$100$200facility $98professional $54

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
$53.70
Median
$53.70
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$66.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$194.98
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
CareSource
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$97.72
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$60.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$123.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$104.71
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$53.70
Typical High
$67.61

Where Georgia 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.

Georgia· 49th of 51

$53.70

IA $58.88CT $53.70

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.