go back

Missouri rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.56 / $2,640.09 / $9,822.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.70 / $2,637.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.82 / $29.82 / $29.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $37.61 / $100.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.11 / $35.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.34 / $27.86 / $33.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $30.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.85 / $40.39 / $86.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.85 / $30.58 / $126.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.02 / $28.64 / $38.89