go back

Illinois rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.85 / $68.30 / $19,878.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.85 / $42.16 / $53.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $42.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.06 / $174.79 / $671.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $50.53 / $50.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.16 / $42.16 / $42.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $47.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $58.24 / $104.79
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.81 / $54.81 / $54.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.11 / $57.55 / $61.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.11 / $67.83 / $67.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $44.58 / $46.93