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Arizona rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $141.25 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $23.99 / $7,943.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $60.26 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.30 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $33.11 / $69.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $29.51