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Margetuximab-cmkb Injection

New York 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 New York, 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 $69.18 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
$69.18

The same drug, in the same amount, costs 29% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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$52.48 to $53.70
FacilityA hospital or hospital-owned outpatient department$69.18$53.70 to $93.33

How much rates vary

Facilitymedian $69 · 10th to 90th $54 to $117Professionalmedian $54 · 10th to 90th $51 to $59
$50$100facility $69professional $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
$74.13
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$61.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$56.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$45.71
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$57.54
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$66.07
Typical High
$181.97
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$57.54
Typical High
$57.54
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$53.70
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$53.70
Typical High
$53.70
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$54.95
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$52.48
Typical High
$60.26
Univera
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$60.26
Univera
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$53.70
Typical High
$53.70

Where New York 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.

New York· 35th 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.