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Delaware rates for HCPCS Q5112

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $21.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.69 / $27.69 / $27.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $21.15 / $90.08