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North Carolina rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.84 / $19,746.68 / $40,158.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $65.20 / $84.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.56 / $103.75 / $165.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.98 / $66.98 / $92.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.58 / $62.10 / $78.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $92.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.08 / $68.44 / $102.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.08 / $82.02 / $93.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.36 / $102.11 / $132.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $65.83 / $78.83
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.71 / $106.96 / $310.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.02 / $282.02 / $282.02