go back

North Dakota rates for HCPCS J9355

Injection, trastuzumab, excludes biosimilar, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $81.28 / $138.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $85.11 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $75.86 / $89.13