go back

Margetuximab-cmkb Injection

Massachusetts 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 Massachusetts, 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 $66.07 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
$66.07

The same drug, in the same amount, costs 23% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$53.70$53.70 to $54.95
FacilityA hospital or hospital-owned outpatient department$66.07$53.70 to $93.33

How much rates vary

Facilitymedian $66 · 10th to 90th $54 to $141Professionalmedian $54 · 10th to 90th $54 to $65
$100.0$1.0K$10.0Kfacility $66professional $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
$69.18
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$69.18
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$154.88
Typical High
$269.15
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$56.23
Typical High
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$95.50
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$5,888.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$57.54
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$154.88
Typical High
$269.15
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$56.23
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$53.70
Typical High
$60.26

Where Massachusetts sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $53.70 · 15th of 51
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.