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Iowa 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
$107.64 / $107.64 / $166.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $76.53 / $261.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.89 / $89.89 / $89.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $85.62 / $116.57
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $96.57 / $223.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.18 / $107.64 / $144.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.18 / $84.80 / $3,766.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.83 / $116.57 / $156.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.83 / $114.27 / $160.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $148.93 / $159.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $77.28 / $90.15
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.37 / $83.37 / $83.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.86 / $83.37 / $83.37