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Missouri rates for HCPCS Q5112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $111.27 / $144.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.38 / $49.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $25.65 / $68.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.17 / $24.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $19.00 / $23.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $19.00 / $19.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.99 / $31.51 / $105.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.99 / $23.31 / $126.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.19 / $22.61