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Louisiana rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.85 / $57.75 / $128.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.57 / $50.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.94 / $31.77 / $38.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $39.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,209.71 / $10,209.71 / $10,209.71
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.15 / $50.15 / $50.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.94 / $42.16 / $47.68