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Massachusetts 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 / $106.91 / $150.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $92.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.40 / $201.08 / $498.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $78.78 / $3,766.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.43 / $92.14 / $179.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.02 / $75.02 / $77.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $81.77
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.18 / $120.36 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $75.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $86.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.52 / $498.40 / $498.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $79.53 / $3,766.52
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.16 / $98.16 / $98.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $79.53 / $114.76