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Oregon rates for HCPCS Q5112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.99 / $21.99 / $43.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.19 / $320.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $36.99 / $57.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.01 / $19.00 / $20.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.26 / $51.00 / $75.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $21.99 / $116.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $21.85 / $27.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $23.75 / $66.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $27.35 / $66.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $42.71 / $56.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.92 / $102.75 / $151.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $22.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $22.04