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Arizona rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.01 / $85.58 / $26,546.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.58 / $57.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.72 / $129.38 / $223.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.79 / $40.47 / $44.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.77 / $42.16 / $42.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $42.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.34 / $48.48 / $75.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.85 / $41.85 / $90.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.11 / $41.11 / $67.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $44.69