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Maine rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.85 / $105.40 / $9,382.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.15 / $43.85 / $50.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.50 / $46.87 / $133.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $43.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.97 / $42.16 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $42.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $42.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.81 / $97.81 / $9,382.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $46.12 / $57.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $61.13