go back

Vermont rates for HCPCS J9316

Injection Pertuzumab Trastuzumab And Hyaluronidase-Zzxf Per 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $76.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.30 / $70.30 / $70.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.29 / $66.29 / $66.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.58 / $71.31 / $118.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $118.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.58 / $71.31 / $118.85
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $118.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $65.83 / $143.72