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Kentucky rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $63.39 / $6,699.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $85.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.30 / $73.23 / $124.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $64.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $74.52 / $99.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $68.31 / $95.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $78.84 / $78.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $86.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.99 / $63.39 / $81.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $65.83 / $69.13