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North Carolina rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.01 / $9,399.12 / $15,589.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.57 / $4,241.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.37 / $48.20 / $50.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.14 / $26.14 / $48.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.34 / $27.86 / $57.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $50.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.42 / $69.77 / $92.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.77 / $42.00 / $109.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.20 / $44.58 / $73.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $29.53 / $36.22
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.29 / $304.70 / $304.70
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.83 / $126.83 / $126.83