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Utah rates for HCPCS J9354

Injection Ado-Trastuzumab Emtansine 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.91 / $48.91 / $48.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $43.42 / $52.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.93 / $56.11 / $62.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $42.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $42.16 / $56.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.86 / $83.28 / $116.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.38 / $57.15 / $60.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $42.16