go back

New Mexico rates for HCPCS J9355

Injection, trastuzumab, excludes biosimilar, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.77 / $118.77 / $118.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.78 / $103.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $75.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.51 / $454.69 / $763.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.25 / $80.25 / $108.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.02 / $75.02 / $105.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $75.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.70 / $123.37 / $181.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.71 / $75.03 / $97.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $100.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $79.53