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Arizona rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.14 / $113.66 / $186.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.72 / $85.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.71 / $195.43 / $341.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.62 / $61.36 / $67.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.39 / $72.98 / $131.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $63.39 / $137.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $65.83