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Georgia rates for HCPCS J9358

Injection, fam-trastuzumab deruxtecan-nxki, 1 mg

Facilitymedian $155 · 10th–90th $31–$57,5440%10%10th90th$155Professionalmedian $31 · 10th–90th $31–$410%20%40%90th$31$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $18,620.87 / $61,659.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $31.62 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $107.15 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $30.90 / $30.90
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $44.67
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $31.62 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $57.54 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $37.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $37.15 / $63.10
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $31.62 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $56.23 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $31.62 / $38.90