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Georgia rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $83.69 / $9,067.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $89.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $110.99 / $254.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $70.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $69.37 / $135.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.71 / $63.71 / $69.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $86.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.98 / $71.98 / $247.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.43 / $98.94 / $142.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $70.20 / $87.26