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Arizona rates for HCPCS J9355

Injection, trastuzumab, excludes biosimilar, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.78 / $150.06 / $11,004.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.78 / $103.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.94 / $235.67 / $410.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.03 / $73.73 / $81.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.02 / $75.02 / $84.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $75.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.25 / $87.71 / $170.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.18 / $76.18 / $3,766.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $79.53