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Mississippi rates for HCPCS Q5112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $26.38 / $26.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.19 / $22.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.15 / $36.15 / $36.15
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $38.22 / $38.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $19.00 / $27.55