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Illinois rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.39 / $95.09 / $8,585.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.71 / $78.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.99 / $62.99 / $63.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.70 / $295.19 / $1,407.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.03 / $79.00 / $85.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $81.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $100.00 / $196.89
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.73 / $80.73 / $80.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $92.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $65.83 / $73.28