go back

Connecticut rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $114.82 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $61.66 / $12,882.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $95.50 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $61.66 / $67.61