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Washington, DC rates for HCPCS Q5112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $68.61 / $83.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $21.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $21.99 / $21.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $13.34 / $19.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $31.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $19.00 / $95.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.99 / $31.99 / $31.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $21.15 / $27.91