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California rates for HCPCS Q5112

Injection, trastuzumab-dttb, biosimilar, (Ontruzant), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $58.88 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $27.54 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $31.62 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $24.55 / $102.33
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $89.13 / $100.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $33.11 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $28.18
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $25.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $30.20 / $58.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $144.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $28.18 / $70.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $37.15
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $33.11 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $38.90