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Michigan rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.42 / $54.70 / $23,350.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.58 / $50.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.07 / $90.25 / $171.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.79 / $44.67 / $57.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.85 / $46.04 / $62.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $44.27 / $97.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $49.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.16 / $56.04 / $9,620.41
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $43.11 / $54.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.11 / $45.22 / $62.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.11 / $41.11 / $43.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $46.93 / $51.01