go back

Fam-Trastuzumab Deruxtecan-nxki Injection

Maine 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 Maine, 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 $77.62 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
$77.62

The same drug, in the same amount, costs 151% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$77.62$72.44 to $77.62

How much rates vary

Facilitymedian $78 · 10th to 90th $36 to $89Professionalmedian $31 · 10th to 90th $31 to $33
$20.0$50.0$100.0facility $78professional $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
$72.44
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$33.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$36.31
Typical High
$100.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$43.65
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$31.62
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$77.62
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$32.36
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$30.90
Typical High
$38.02

Where Maine 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.

Maine $30.90 · 48th of 51
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.