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North Carolina rates for HCPCS J9355

Injection, trastuzumab, excludes biosimilar, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.25 / $173.33 / $21,734.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $79.98 / $105.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $75.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $135.83 / $182.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $85.38 / $106.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.78 / $75.02 / $105.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $124.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.00 / $80.25 / $137.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.78 / $98.98 / $166.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.04 / $123.29 / $159.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.34 / $92.34 / $124.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $79.53 / $93.79
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.52 / $133.72 / $498.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,766.52 / $3,766.52 / $3,766.52