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North Dakota rates for HCPCS Q5112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $19.00 / $39.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.19 / $22.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.95 / $15.02 / $15.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $15.02 / $15.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.77 / $22.77 / $26.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $29.29 / $37.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.99 / $28.59 / $60.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.99 / $25.07 / $126.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $21.15 / $22.97