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Nebraska rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.39 / $101.97 / $44,541.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $68.31 / $19,948.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $63.39 / $131.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.26 / $67.37 / $67.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.34 / $76.15 / $77.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $94.49 / $99.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.39 / $97.04 / $126.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.99 / $70.12 / $116.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.59 / $95.08 / $127.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $95.08 / $99.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.31 / $89.20 / $126.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $87.22