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Florida rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $128.34 / $7,727.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $70.06 / $83.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.71 / $69.37 / $84.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.69 / $69.37 / $69.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.08 / $84.79 / $123.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $73.53 / $77.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $77.48 / $77.48