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New Jersey rates for HCPCS Q5112

Injection Trastuzumab-Dttb Biosimilar (Ontruzant) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $28.59 / $53.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $22.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.99 / $21.99 / $21.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $67.04 / $86.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.34 / $15.34 / $31.02
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.74 / $47.65 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $23.96 / $48.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.08 / $72.08 / $72.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.95 / $22.61