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Florida rates for HCPCS Q5112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $35.15 / $62.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.19 / $23.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $19.00 / $31.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $19.00 / $19.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.70 / $10.68 / $18.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $20.14 / $21.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $21.99 / $21.99