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Illinois rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $61.66 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $9,549.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $107.15 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $38.90 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $30.90
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $154.88 / $186.21
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $32.36 / $34.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $27.54 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.12 / $31.62