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Fam-Trastuzumab Deruxtecan-nxki Injection

Georgia rates for HCPCS J9358 · Enhertu

Injection, fam-trastuzumab deruxtecan-nxki, 1 mg

Rates data updated July 2026.

How much does Enhertu (fam-trastuzumab deruxtecan-nxki) cost?

$30.90per mg

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $30.90 for each mg of this drug. The price depends on where it is billed: about $30.90 from a physician practice, and about $64.57 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
$30.90
At a hospital outpatient department
$64.57

The same drug, in the same amount, costs 109% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$30.90$30.90 to $31.62
FacilityA hospital or hospital-owned outpatient department$64.57$30.90 to $100

How much rates vary

Facilitymedian $65 · 10th to 90th $31 to $155Professionalmedian $31 · 10th to 90th $31 to $37
$50$100$200$500$1K$2K$5Kfacility $65professional $31

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
$30.90
Median
$64.57
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$38.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$107.15
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$30.90
Typical High
$30.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$43.65
Typical High
$57.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$57.54
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$35.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$63.10
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$31.62
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$61.66
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$31.62
Typical High
$38.90

Where Georgia 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.

Georgia· 45th of 51

$30.90

IA $33.88NY $28.84

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.