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Maryland 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
$76.18 / $76.18 / $10,042.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.78 / $124.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $76.18 / $76.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.05 / $77.05 / $105.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $95.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.78 / $75.03 / $112.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $83.52 / $91.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.05 / $77.05 / $102.84