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Fam-Trastuzumab Deruxtecan-nxki Injection

West Virginia rates for HCPCS J9358 · Enhertu

Injection, fam-trastuzumab deruxtecan-nxki, 1 mg

Rates data updated October 2026.

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

$33.11per mg

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $33.11 for each mg of this drug. The price depends on where it is billed: about $33.11 from a physician practice, and about $36.31 from a hospital or other facility.

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
$33.11
At a hospital outpatient department
$36.31

The same drug, in the same amount, costs 10% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$33.11$33.11 to $34.67
FacilityA hospital or hospital-owned outpatient department$36.31$36.31 to $47.86

How much rates vary

Facilitymedian $36 · 10th to 90th $31 to $62Professionalmedian $33 · 10th to 90th $31 to $39
$20$50$100facility $36professional $33

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$36.31
Typical High
$47.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$33.11
Typical High
$34.67
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$15.49
Median
$16.60
Typical High
$16.60
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.31
Median
$6.61
Typical High
$6.61
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.68
Median
$5.01
Typical High
$5.01
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.16
Median
$3.31
Typical High
$3.31
CareSource
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$38.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$48.98
Typical High
$61.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$34.67
Typical High
$38.90

Where West Virginia 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.

West Virginia· 23rd of 51

$33.11

AK $41.69AZ $33.11

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.