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Oklahoma rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.09 / $43.93 / $5,819.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.14 / $41.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.72 / $59.72 / $59.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.35 / $96.78 / $153.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.34 / $22.34 / $27.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.14 / $32.72 / $83.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.75 / $29.82 / $39.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.75 / $27.86 / $33.15