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Idaho rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.85 / $5,181.60 / $27,108.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $34.83 / $6,342.30
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 / $27.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.85 / $34.83 / $48.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $29.53 / $34.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.60 / $30.00 / $58.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.26 / $39.90 / $80.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.43 / $33.43 / $34.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $29.53