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Delaware rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $178.28 / $8,731.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $87.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.58 / $75.58 / $75.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $74.17 / $152.61