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Missouri rates for HCPCS J9358

Injection, fam-trastuzumab deruxtecan-nxki, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.57 / $35.22 / $21,200.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $30.58 / $36.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.98 / $40.47 / $107.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $37.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.28 / $28.28 / $29.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $37.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $35.22 / $58.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $31.73 / $127.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.98 / $35.68