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Alaska rates for HCPCS Q5107

Injection, bevacizumab-awwb, biosimilar, (Mvasi), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.12 / $187.81 / $44,200.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $30.65 / $62.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $29.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.85 / $51.82 / $92.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $62.69
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.36 / $117.22 / $184.21
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.73 / $100.48 / $100.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $51.82 / $167.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $31.91 / $83.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $41.79 / $83.58