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Wyoming 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 / $21.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.19 / $20.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.07 / $105.97 / $105.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $13.34 / $13.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $20.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00