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California rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.14 / $68.68 / $14,067.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $41.78 / $9,644.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.85 / $51.26 / $51.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.56 / $44.50 / $100.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.85 / $82.82
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.90 / $71.17 / $119.73
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.39 / $30.24 / $84.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.34 / $22.34 / $27.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $33.51
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.73 / $29.82 / $38.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.07 / $33.43 / $63.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.29 / $304.70 / $304.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.83 / $126.83 / $126.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.73 / $58.89 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $29.26 / $47.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $38.04
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.33 / $138.33 / $138.33
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.29 / $27.86 / $41.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $55.76