go back

Massachusetts rates for HCPCS Q5112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $29.84 / $42.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $22.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.58 / $63.12 / $461.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.95 / $121.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.37 / $23.33 / $45.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $19.00 / $26.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.43 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $41.53 / $48.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.97 / $461.50 / $461.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $20.14 / $121.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.95 / $44.84