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Rhode Island rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.83 / $201.83 / $59,956.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $64.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.39 / $63.39 / $78.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $69.13