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Vermont rates for HCPCS J9355

Injection Trastuzumab Excludes Biosimilar 10 Mg (Desc Revised 7/1/2019)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $75.03 / $130.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.93 / $84.93 / $323.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.95 / $79.95 / $79.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.78 / $85.69 / $142.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $142.82
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.78 / $85.69 / $142.82
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $75.02 / $142.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $79.53 / $173.64