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Colorado rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.14 / $154.97 / $161.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $86.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.26 / $119.32 / $221.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.65 / $63.71 / $69.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $77.48 / $121.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.61 / $76.30 / $104.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $73.53