| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $19.00 | $21.10 | |
Cigna
| Facility | $27.69 | $27.69 | $27.69 | |
Cigna
| Professional | $19.00 | $19.00 | $19.00 | |
United
| Professional | $19.00 | $21.15 | $90.08 |
Injection, trastuzumab-dttb, biosimilar, (Ontruzant), 10 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $19.00 | $21.10 | |
Cigna
| Facility | $27.69 | $27.69 | $27.69 | |
Cigna
| Professional | $19.00 | $19.00 | $19.00 | |
United
| Professional | $19.00 | $21.15 | $90.08 |