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Oklahoma rates for HCPCS J9355

Injection Trastuzumab Excludes Biosimilar 10 Mg (Desc Revised 7/1/2019)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.98 / $82.28 / $141.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $76.53 / $92.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $75.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.56 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.78 / $70.78 / $75.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $75.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.18 / $90.51 / $131.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.69 / $80.23 / $3,766.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $89.29