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Pennsylvania rates for HCPCS J9354

Injection Ado-Trastuzumab Emtansine 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.27 / $110.48 / $32,764.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.57 / $53.12
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.04 / $45.74 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.75 / $43.75 / $43.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.77 / $42.16 / $42.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $43.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.74 / $41.74 / $52.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.57 / $104.93 / $117.26
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.06 / $41.06 / $41.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.27 / $103.79 / $32,764.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.58 / $85.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $63.20 / $76.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.77 / $42.16 / $42.16
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $44.40
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.27 / $36.27 / $42.09
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $36.27 / $42.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $44.69 / $53.96