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South Carolina 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
$0.04 / $8,431.99 / $13,307.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $78.06 / $99.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.39 / $129.54 / $227.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $113.09 / $135.52
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 / $81.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.00 / $77.70 / $147.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.00 / $90.00 / $151.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.03 / $79.23 / $187.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.69 / $75.69 / $75.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.78 / $79.53 / $93.79