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Texas rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.85 / $71.70 / $21,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.27 / $53.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.59 / $58.59 / $58.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.41 / $76.97 / $152.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.61 / $39.61 / $39.61
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.65 / $38.29 / $69.43
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.29 / $45.07 / $59.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,209.71 / $10,209.71 / $10,209.71
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 / $42.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $205.55 / $210.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,110.43 / $4,110.43 / $4,110.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.85 / $42.16 / $66.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $43.00 / $69.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.48 / $46.41 / $76.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.16 / $42.16 / $67.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $50.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.11 / $41.11 / $67.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $44.69 / $46.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.97 / $42.16 / $59.02