go back

Nebraska rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $64.57 / $21,379.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $42.66 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $43.65 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $50.12 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $46.77 / $63.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $50.12 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $46.77 / $4,073.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $61.66 / $63.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $61.66 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $42.66 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $42.66 / $50.12