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Iowa rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.61 / $168.97 / $288.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $317.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.11 / $83.11 / $83.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $75.30 / $94.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.23 / $69.37 / $212.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $88.69 / $123.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $85.24 / $317.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $92.99 / $129.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.71 / $89.77 / $107.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $137.47 / $144.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $71.45 / $87.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $77.48 / $77.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.22 / $77.48 / $77.48