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Vermont rates for HCPCS Q5107

Injection Bevacizumab-Awwb Biosimilar (Mvasi) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.86 / $211.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.99 / $25.99 / $25.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.34 / $29.20 / $48.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $48.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.34 / $29.20 / $48.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $48.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $29.53 / $71.17