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Margetuximab-cmkb Injection

Idaho rates for HCPCS J9353 · Margenza

Injection, margetuximab-cmkb, 5 mg

Rates data updated July 2026.

How much does Margenza (margetuximab-cmkb) cost?

$56.23per 5 mg

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $56.23 for each 5 mg of this drug. The price depends on where it is billed: about $56.23 from a physician practice, and about $61.66 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
$56.23
At a hospital outpatient department
$61.66

The same drug, in the same amount, costs 10% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$56.23$53.70 to $61.66
FacilityA hospital or hospital-owned outpatient department$61.66$53.70 to $72.44

How much rates vary

Facilitymedian $62 · 10th to 90th $54 to $93Professionalmedian $56 · 10th to 90th $54 to $66
$50$100facility $62professional $56

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
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$66.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$72.44
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$75.86
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$54.95
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$58.88
Typical High
$83.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$56.23
Typical High
$66.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$36.31
Typical High
$53.70
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$72.44
Typical High
$120.23
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$64.57
Select Health
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$112.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$57.54

Where Idaho 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.

Idaho· 3rd of 51

$56.23

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.