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Louisiana rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.72 / $95.09 / $17,769.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.71 / $74.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $63.39 / $117.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.29 / $69.29 / $103.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.29 / $69.29 / $70.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,974.43 / $10,974.43 / $10,974.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.58 / $58.58 / $62.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.00 / $62.10 / $79.48