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Arkansas rates for HCPCS J9355

Injection Trastuzumab Excludes Biosimilar 10 Mg (Desc Revised 7/1/2019)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.03 / $91.42 / $95.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $77.28 / $92.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.65 / $82.65 / $82.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.55 / $82.65 / $82.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.03 / $99.03 / $113.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $173.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.78 / $75.02 / $97.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $81.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $96.04