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Margetuximab-cmkb Injection

Pennsylvania 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 Pennsylvania, 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 $81.28 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
$81.28

The same drug, in the same amount, costs 51% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$53.70 to $54.95
FacilityA hospital or hospital-owned outpatient department$81.28$57.54 to $117

How much rates vary

Facilitymedian $81 · 10th to 90th $54 to $151Professionalmedian $54 · 10th to 90th $54 to $62
$50$100$200facility $81professional $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
$83.18
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$58.88
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$57.54
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$89.13
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$54.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$57.54
Typical High
$57.54
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$107.15
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$81.28
Typical High
$138.04
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$74.13
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$97.72
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$75.86
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$53.70
Typical High
$64.57

Where Pennsylvania 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.

Pennsylvania· 34th 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.