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West Virginia rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.98 / $33,380.60 / $35,594.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $68.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $68.31 / $93.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $143.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.58 / $78.84 / $78.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $64.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.10 / $359.10 / $359.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $68.93 / $92.74