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Oklahoma rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.56 / $68.45 / $15,389.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.72 / $74.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $63.39 / $131.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.35 / $96.78 / $153.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.58 / $58.58 / $62.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.39 / $71.88 / $102.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.99 / $65.31 / $86.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $73.90