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Fam-Trastuzumab Deruxtecan-nxki Injection

Virginia 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 Virginia, 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 $30.90 from a physician practice, and about $40.74 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
$40.74

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$30.90$30.90 to $33.11
FacilityA hospital or hospital-owned outpatient department$40.74$31.62 to $66.07

How much rates vary

Facilitymedian $41 · 10th to 90th $31 to $85Professionalmedian $31 · 10th to 90th $31 to $40
$10.0$20.0$50.0$100.0facility $41professional $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
$58.88
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$38.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$58.88
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$52.48
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$58.88
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$30.90
Typical High
$37.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$33.11
Typical High
$51.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$31.62
Typical High
$31.62
Sentara
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$37.15
Typical High
$45.71
Sentara
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$37.15
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$38.02
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$33.11
Typical High
$35.48

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 $31.62 · 26th 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.