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New York rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $55.39 / $12,694.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.14 / $2,588.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.29 / $22.29 / $27.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $51.50
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.77 / $39.77 / $41.76
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.77 / $39.77 / $39.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.34 / $39.68 / $71.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.69 / $41.10 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.57 / $25.69 / $39.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $27.86 / $31.21
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $31.21 / $31.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.98 / $36.06 / $83.73
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.34 / $56.11 / $71.17
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $32.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $29.44 / $41.48
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.21 / $31.21 / $31.21
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $31.21 / $31.21