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Indiana rates for HCPCS J9358

Injection, fam-trastuzumab deruxtecan-nxki, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.28 / $66.73 / $207.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $30.28 / $33.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.98 / $59.96 / $72.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $41.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.98 / $30.00 / $44.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $37.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.98 / $29.98 / $37.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $33.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $31.78 / $37.18