go back

Oklahoma rates for HCPCS Q5112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.52 / $23.74 / $33.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $20.52 / $26.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.32 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $13.34 / $19.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.99 / $24.93 / $105.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.99 / $24.48 / $76.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $21.99