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Virginia rates for HCPCS J9355

Injection, trastuzumab, excludes biosimilar, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.03 / $87.35 / $173.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.78 / $98.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.02 / $155.29 / $245.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $114.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $76.18 / $76.18
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.78 / $75.03 / $124.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.78 / $95.06 / $144.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $134.00 / $217.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.03 / $90.04 / $124.67
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $90.04 / $124.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.69 / $124.89 / $200.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $79.53 / $88.54