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Maine rates for HCPCS J9355

Injection, trastuzumab, excludes biosimilar, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.07 / $174.07 / $187.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.78 / $78.03 / $92.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.72 / $83.40 / $237.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $77.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.02 / $75.02 / $105.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $75.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $75.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.07 / $174.07 / $187.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.78 / $78.06 / $103.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $131.30