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Texas rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.72 / $112.04 / $9,815.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.72 / $76.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $63.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.70 / $184.03 / $367.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.03 / $80.03 / $80.03
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.98 / $74.22 / $134.52
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $77.00 / $109.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,974.43 / $10,974.43 / $10,974.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.58 / $62.10 / $62.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.71 / $310.50 / $314.95
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.02 / $282.02 / $282.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $63.39 / $127.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $71.65 / $115.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.92 / $68.31 / $132.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $110.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $84.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $65.83 / $69.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $63.88 / $86.94