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Michigan rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.70 / $57.70 / $6,977.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.14 / $78.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.56 / $53.56 / $55.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.40 / $64.04 / $121.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.30 / $30.47 / $173.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $30.65 / $43.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $29.25 / $64.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $38.58
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.70 / $83.73 / $6,366.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.14 / $41.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $32.03 / $50.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $31.01 / $35.65