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Georgia rates for HCPCS Q5112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $21.99 / $236.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.19 / $25.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $30.40 / $69.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $21.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $19.00 / $37.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $13.34 / $19.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.01 / $19.00 / $20.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.37 / $26.37 / $202.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $33.92 / $89.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.76 / $24.32