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Arkansas rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.24 / $89.11 / $97.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $72.84 / $89.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.50 / $82.50 / $82.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.01 / $82.50 / $82.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.71 / $69.37 / $71.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $73.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $82.90