go back

Florida 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
$75.03 / $138.81 / $6,838.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.78 / $91.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $75.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.78 / $75.02 / $96.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $75.02
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.31 / $75.03 / $75.03
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.52 / $75.03 / $75.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $13.29 / $20.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $79.53 / $83.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $76.18 / $76.18