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Maine rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.64 / $6,205.27 / $9,542.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $28.14 / $38.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.78 / $30.97 / $88.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $28.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $27.86 / $71.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.64 / $69.65 / $6,205.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $28.98 / $41.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $40.40