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New York rates for HCPCS J9316

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

Facilitymedian $87 · 10th–90th $62–$10,9650%10%20%10th90th$87Professionalmedian $69 · 10th–90th $60–$810%50%10th90th$69$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $100.00 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $61.66 / $112.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $75.86
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $79.43 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $67.61
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $74.13 / $204.17
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $66.07 / $85.11
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $64.57
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $64.57 / $64.57
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $69.18 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $70.79 / $81.28
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $74.13
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $64.57 / $64.57