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Missouri rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $93.33 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $61.66 / $12,882.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $64.57 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $69.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $75.86 / $117.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $67.61 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $77.62 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $63.10 / $72.44