go back

North Carolina rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $7,943.28 / $39,810.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $41.69 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $69.18 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $42.66 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $47.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $42.66 / $64.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $57.54 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $67.61 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $44.67 / $46.77
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80