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Missouri rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.85 / $56.22 / $27,088.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $43.00 / $53.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $42.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.16 / $56.92 / $151.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $52.70
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 / $50.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.85 / $47.88 / $79.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.44 / $44.26 / $4,110.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.58 / $55.05 / $73.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.53 / $42.16 / $49.79