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Montana rates for HCPCS J9355

Injection, trastuzumab, excludes biosimilar, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $76.94 / $94.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.32 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.83 / $87.83 / $302.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $103.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.41 / $84.90 / $173.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.12 / $95.55 / $105.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $75.03