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Virginia rates for HCPCS Q5107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.26 / $2,921.36 / $7,861.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.14 / $54.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $57.67 / $91.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $37.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $28.84 / $28.84
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.68 / $27.86 / $40.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $30.09 / $69.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.79 / $55.48 / $126.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $33.43 / $83.73
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $33.43 / $83.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $29.53 / $36.22