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Arkansas rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.22 / $52.73 / $9,430.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $45.53 / $50.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.40 / $45.40 / $45.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $45.40 / $45.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.85 / $54.81 / $62.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.85 / $42.16 / $97.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.14 / $40.97 / $42.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $45.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.53 / $42.16 / $48.48