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Alaska rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.56 / $77.06 / $272.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.15 / $46.38 / $78.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $42.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.58 / $78.42 / $109.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $84.32
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.84 / $66.04 / $103.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.17 / $56.60 / $56.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.16 / $78.42 / $109.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $48.54 / $56.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.69 / $63.24 / $126.48