go back

Montana rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.71 / $76.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.22 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.26 / $77.26 / $77.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $79.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $75.14 / $81.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.34 / $79.08 / $87.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10