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Texas rates for HCPCS J9355

Injection, trastuzumab, excludes biosimilar, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.03 / $132.34 / $304.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.78 / $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
$103.04 / $260.79 / $515.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.84 / $87.84 / $87.84
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.64 / $99.74 / $2,461.05
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $95.23 / $147.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.48 / $73.48 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.78 / $75.02 / $111.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $77.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.52 / $498.40 / $498.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,766.52 / $3,766.52 / $3,766.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.20 / $76.18 / $133.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $76.53 / $123.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $86.28 / $159.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.80 / $75.03 / $131.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $100.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.89 / $124.89 / $124.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $79.53 / $84.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $77.05 / $105.04