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Utah rates for HCPCS J9316

Injection Pertuzumab Trastuzumab And Hyaluronidase-Zzxf Per 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.03 / $13,607.95 / $47,744.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.71 / $73.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.72 / $89.92 / $98.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $72.43 / $83.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.08 / $142.59 / $192.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.31 / $84.17 / $88.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10