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Utah rates for HCPCS J9355

Injection, trastuzumab, excludes biosimilar, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.03 / $87.03 / $261.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.78 / $93.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.14 / $107.12 / $117.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $75.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $90.03 / $117.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.96 / $167.87 / $226.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.53 / $101.70 / $107.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $75.03