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Fam-Trastuzumab Deruxtecan-nxki Injection

Missouri rates for HCPCS J9358

Injection, fam-trastuzumab deruxtecan-nxki, 1 mg

Rates data updated July 2026.

How much does Fam-Trastuzumab Deruxtecan-nxki Injection cost?

$31.62per mg

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $31.62 for each mg of this drug. The price depends on where it is billed: about $31.62 from a physician practice, and about $35.48 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
$31.62
At a hospital outpatient department
$35.48

The same drug, in the same amount, costs 12% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$31.62$30.90 to $37.15
FacilityA hospital or hospital-owned outpatient department$35.48$31.62 to $47.86

How much rates vary

Facilitymedian $35 · 10th to 90th $31 to $60Professionalmedian $32 · 10th to 90th $31 to $41
$20.0$50.0$100.0facility $35professional $32

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
$38.90
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$31.62
Typical High
$43.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$33.11
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$38.02
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$33.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$35.48
Typical High
$60.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$31.62
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$41.69
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$31.62
Typical High
$36.31

Where Missouri 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.

Missouri $31.62 · 14th 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.