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Missouri rates for HCPCS J9355

Injection, trastuzumab, excludes biosimilar, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $125.89 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $79.43 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $75.86 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $83.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $95.50 / $151.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $81.28 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $93.33 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $75.86 / $87.10