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Delaware rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.59 / $159.59 / $159.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $76.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.06 / $67.06 / $67.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.85 / $263.85 / $263.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $68.93 / $93.15