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Ado-Trastuzumab Emtansine Injection

Virginia rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Rates data updated July 2026.

How much does Ado-Trastuzumab Emtansine Injection cost?

$42.66per mg

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $42.66 for each mg of this drug. The price depends on where it is billed: about $42.66 from a physician practice, and about $56.23 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 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$42.66
At a hospital outpatient department
$56.23

The same drug, in the same amount, costs 32% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$42.66$42.66 to $44.67
FacilityA hospital or hospital-owned outpatient department$56.23$42.66 to $89.13

How much rates vary

Facilitymedian $56 · 10th to 90th $43 to $115Professionalmedian $43 · 10th to 90th $43 to $56
$20.0$50.0$100.0$200.0facility $56professional $43

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
$42.66
Median
$87.10
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$50.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$79.43
Typical High
$144.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$74.13
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$79.43
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$42.66
Typical High
$50.12
Medcost
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$44.67
Typical High
$67.61
Medcost
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$41.69
Typical High
$41.69
Sentara
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$61.66
Sentara
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$51.29
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$44.67
Typical High
$47.86

Where Virginia 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.

Virginia $42.66 · 42nd of 51
CA $45.71NY $40.74

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.