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Idaho rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.85 / $41.85 / $21,015.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.15 / $43.86 / $57.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.77 / $39.77 / $42.16
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
$41.85 / $52.70 / $67.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $44.69 / $52.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $36.86 / $80.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.16 / $54.05 / $99.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.38 / $50.59 / $50.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $44.69