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Louisiana rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.14 / $43.71 / $6,552.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.14 / $53.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.85 / $28.85 / $53.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.33 / $35.33 / $53.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.33 / $35.33 / $36.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.24 / $1,445.24 / $1,445.24
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.07 / $27.86 / $36.46