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Arkansas rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.52 / $76.06 / $79.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $65.20 / $76.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $63.39 / $63.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.77 / $68.77 / $68.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.37 / $68.77 / $68.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.58 / $62.10 / $63.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $67.37
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.90 / $72.90 / $72.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $63.96 / $79.48