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Rhode Island rates for HCPCS J9355

Injection, trastuzumab, excludes biosimilar, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.85 / $243.85 / $243.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.78 / $78.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.18 / $76.18 / $105.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $75.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.02 / $75.02 / $75.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $75.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $83.52