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Alaska rates for HCPCS J9316

Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.38 / $116.72 / $412.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $68.31 / $115.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.39 / $115.50 / $165.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $124.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.42 / $124.29 / $195.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.78 / $106.54 / $106.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $115.50 / $174.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $79.08 / $104.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.83 / $93.15 / $176.99