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Arizona rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.55 / $140.82 / $9,069.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $71.45 / $95.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.99 / $226.50 / $401.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.59 / $74.92 / $81.56
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 / $69.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $90.35 / $144.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $77.48 / $168.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $73.53