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Nebraska rates for HCPCS Q5112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $38.47 / $47.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $36.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.28 / $21.51 / $21.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.43 / $21.51 / $24.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $34.49 / $44.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.99 / $37.15 / $87.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.99 / $26.17 / $105.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $34.49 / $81.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.38 / $34.49 / $97.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.23 / $31.91 / $55.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $22.61