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Maine rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.07 / $144.07 / $155.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $64.58 / $76.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.23 / $69.04 / $196.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $64.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $78.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.07 / $144.07 / $155.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $67.93 / $85.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $90.05