Pertuzumab, trastuzumab and hyaluronidase injection (Phesgo)

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PERTUZ-TRASTUZ-HYALURON-ZZXF 80-40-2000 MG-MG-U/ML SC SOLN

Payers reporting HCPCS J9316

Payer pricing summary

Low

$32

Average

$7.7k

Median

$4.8k

High

$51.8k

Payer rate distribution

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Filter by billing class

#
1	Wellmark fee schedule · outpatient · +15 other terms	19	$69	$69	$0	0%	146	$69 – $69
2	UnitedHealthcare fee schedule · outpatient · +27 other terms	599	$97	$256	$1.4k	527%	16	$1 – $28.4k
3	Aetna fee schedule · outpatient · +26 other terms	403	$76	$1.1k	$12.5k	1166%	13	$1 – $347.7k
4	Anthem fee schedule · outpatient · +23 other terms	133	$90	$525	$3.0k	572%	2–20	$58 – $49.2k
5	Cigna fee schedule · outpatient · +21 other terms	361	$96	$891	$4.0k	446%	—	$1 – $50.4k
6	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	351	$107	$321	$1.5k	467%	—	$0 – $22.7k
7	Humana fee schedule · outpatient · +20 other terms	318	$62	$114	$733	644%	—	$0 – $13.7k
8	Molina fee schedule · outpatient · +23 other terms	138	$88	$310	$1.0k	330%	—	$0 – $10.5k
9	WellCare fee schedule · outpatient · +15 other terms	123	$63	$68	$19	28%	—	$58 – $150
10	Caresource fee schedule · outpatient · +16 other terms	78	$76	$166	$1.0k	603%	—	$1 – $13.7k
11	Kaiser fee schedule · outpatient · +18 other terms	73	$90	$2.5k	$7.6k	310%	—	$48 – $44.6k
12	Devoted fee schedule · outpatient · +10 other terms	63	$65	$63	$4	6%	—	$57 – $71
13	Ambetter facility · fee schedule · outpatient · +14 other terms	58	$109	$301	$1.7k	555%	—	$62 – $15.5k
14	Highmark facility · fee schedule · outpatient · +13 other terms	35	$68	$89	$46	51%	—	$28 – $235
15	Optum facility · fee schedule · outpatient · +15 other terms	35	$64	$553	$2.1k	371%	—	$50 – $11.5k
16	Oscar facility · fee schedule · outpatient · +15 other terms	35	$79	$80	$17	21%	—	$61 – $119
17	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$276	$256	$117	46%	—	$60 – $495
18	Clover fee schedule · outpatient · +7 other terms	29	$69	$65	$5	8%	—	$59 – $75
19	Medicare fee schedule · outpatient · +10 other terms	29	$61	$63	$1	1%	—	$60 – $68
20	Amerihealth Caritas facility · fee schedule · outpatient · +13 other terms	28	$63	$591	$2.1k	359%	—	$60 – $9.3k
21	MultiPlan fee schedule · outpatient · +13 other terms	24	$110	$12.0k	$17.6k	147%	—	$63 – $56.8k
22	Aetna Better Health fee schedule · outpatient · +15 other terms	23	$63	$65	$5	7%	—	$62 – $79
23	Medica facility · fee schedule · outpatient · +14 other terms	21	$63	$563	$2.6k	456%	—	$22 – $15.8k
24	Medical Mutual facility · fee schedule · outpatient · +7 other terms	21	$115	$132	$63	48%	—	$33 – $270
25	Regence facility · fee schedule · outpatient · +10 other terms	21	$63	$76	$33	43%	—	$53 – $176

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