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Iowa rates for HCPCS Q5112

Injection Trastuzumab-Dttb Biosimilar (Ontruzant) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.47 / $47.95 / $81.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $320.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.77 / $22.77 / $22.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $29.29 / $44.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $64.64 / $213.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.99 / $34.28 / $105.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.99 / $24.48 / $126.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $42.46 / $90.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.38 / $34.49 / $97.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $38.11 / $48.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.57 / $22.61
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.99 / $21.99 / $21.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $21.99 / $21.99