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Nebraska rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $61.42 / $8,969.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.42 / $2,543.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.49 / $50.49 / $59.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.81 / $31.54 / $31.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.46 / $34.17 / $35.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $35.79 / $71.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.97 / $44.72 / $65.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.85 / $30.58 / $83.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.79 / $41.19 / $53.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $37.35 / $72.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.89 / $40.50 / $56.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $41.79