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Rhode Island rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.55 / $6,636.05 / $22,963.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $28.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.14 / $28.85 / $71.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $31.01