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Kansas rates for HCPCS J9355

Injection, trastuzumab, excludes biosimilar, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.70 / $107.64 / $335.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $81.03 / $106.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.81 / $97.63 / $134.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.27 / $78.27 / $78.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.78 / $75.02 / $133.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $75.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.18 / $106.65 / $117.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.18 / $84.80 / $3,766.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.34 / $92.34 / $92.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $79.53 / $99.79