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Wyoming rates for HCPCS J9316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.39 / $63.39 / $63.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.72 / $72.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.84 / $92.77 / $92.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.58 / $58.58 / $58.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $76.16 / $87.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10