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Indiana rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.14 / $129.83 / $15,426.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.14 / $35.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.85 / $28.85 / $28.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $55.72 / $67.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.85 / $40.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $28.85 / $41.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $34.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $27.86 / $37.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $34.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $29.84 / $37.22