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Nebraska rates for HCPCS J9355

Injection, trastuzumab, excludes biosimilar, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.18 / $107.64 / $165.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.78 / $4,583.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $75.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.19 / $81.40 / $81.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.68 / $84.93 / $86.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $113.54 / $160.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.18 / $112.59 / $152.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.69 / $80.75 / $124.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.83 / $115.58 / $144.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.00 / $118.16 / $205.39
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.98 / $107.40 / $173.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $89.29