go back

Pennsylvania rates for HCPCS J9358

Injection, fam-trastuzumab deruxtecan-nxki, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.30 / $73.63 / $16,488.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $30.28 / $13,860.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.76 / $32.52 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.28 / $29.98 / $29.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $31.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $37.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.24 / $75.56 / $109.03
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.61 / $33.35 / $33.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.30 / $70.20 / $17,490.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $30.90 / $17,959.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $45.50 / $55.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.28 / $29.98 / $29.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $31.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.72 / $25.72 / $29.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.72 / $25.72 / $29.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $31.78 / $42.36