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Connecticut rates for HCPCS Q5113

Injection, trastuzumab-pkrb, biosimilar, (Herzuma), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $95.50 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $74.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $85.11 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $57.54 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $54.95 / $74.13