Payer comparison · HCPCS J9354 · EMMETT, ID

J9354 — Ado-trastuzumab Emtansine 100 Mg Intravenous Solution

What each payer pays VALOR HEALTH (CCN 131318) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$7,916 All-payer median here

$10,702 Cash / self-pay here

14 payer/plan-name variants

← This hospital National rates for J9354 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

BLUE CROSS COMM - ALL OTHER PLANS	$11,040	39.5%	2
SelectHealth	$10,702	35.2%	2
MODA HEALTH - ODS MEDICAL	$10,702	35.2%	2
BLUE CROSS QHP	$10,488	32.5%	2
Cigna Healthcare	$10,266	29.7%	4
Blue Shield of California	$9,757	23.3%	4
PacificSource	$7,754	-2.0%	4
Humana	$7,504	-5.2%	4
UnitedHealthcare	$7,262	-8.3%	4
Aetna	$6,876	-13.1%	4
Molina Healthcare	$5,295	-33.1%	2
Regence BCBS	$5,295	-33.1%	2
BLUE CROSS MCR ADV	$5,295	-33.1%	2
PGBA TRIWEST VA CCN	$5,136	-35.1%	2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.