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Maryland rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.82 / $1,616.19 / $14,240.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.14 / $6,342.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.84 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.73 / $28.73 / $71.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $30.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.68 / $27.86 / $37.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $31.01 / $33.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.73 / $28.73 / $38.95