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Minnesota 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 / $75.03 / $75.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $93.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.37 / $143.66 / $238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.79 / $105.23 / $219.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.14 / $87.83 / $97.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.89 / $89.89 / $95.21
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.14 / $77.14 / $89.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.20 / $76.18 / $135.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.18 / $84.80 / $223.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $79.53 / $143.54