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New Jersey rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $2,472.37 / $6,061.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $38.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $36.42 / $47.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.07 / $25.69 / $39.07
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.82 / $62.52 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.35 / $28.45 / $30.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.78 / $48.78 / $48.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $29.25 / $33.21