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New York 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 / $48.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $25.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.20 / $15.20 / $19.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $71.51
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.11 / $61.11 / $64.17
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.11 / $61.11 / $61.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $69.23 / $90.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.34 / $25.10 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.34 / $15.34 / $33.17
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $85.05 / $90.07
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $31.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.95 / $28.50
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00