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Ohio rates for HCPCS J9355

Injection, trastuzumab, excludes biosimilar, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.18 / $183.00 / $9,960.15
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
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.02 / $120.80 / $187.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $85.53 / $126.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.03 / $76.18 / $113.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $76.18 / $120.05
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 / $115.03
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.02 / $105.97 / $396.55
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $124.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.69 / $87.04 / $108.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.34 / $92.34 / $92.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $92.98