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Connecticut rates for HCPCS Q5112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $46.77 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $46.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $42.66 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $29.51 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $27.54 / $30.20