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Michigan rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.96 / $84.88 / $126.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.72 / $68.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $63.39 / $117.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.08 / $127.40 / $258.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.10 / $65.79 / $85.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $79.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $126.78 / $181.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $63.96 / $77.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $69.28 / $94.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $69.13 / $79.50