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Kansas rates for HCPCS Q5112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $54.95 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $37.15 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $29.51 / $107.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $23.44 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $28.84 / $32.36