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New Hampshire rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.85 / $28.85 / $9,758.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $34.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.31 / $50.15 / $121.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.34 / $27.86 / $27.86
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 / $46.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $71.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.29 / $97.93 / $3,375.00