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Utah rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.32 / $5,008.50 / $24,897.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $30.65 / $4,324.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.77 / $32.47 / $37.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $34.61 / $40.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.09 / $57.19 / $77.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.65 / $37.76 / $39.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86