go back

Kentucky 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 / $32.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $22.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.52 / $22.41 / $38.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $21.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $25.65 / $30.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $20.90 / $29.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $90.07 / $90.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $30.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.76 / $28.74 / $37.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $20.14 / $21.99