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Kansas rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.12 / $154.97 / $340.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $74.92 / $97.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.64 / $68.19 / $106.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.98 / $74.98 / $74.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.71 / $69.37 / $127.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $108.49 / $118.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $86.26 / $317.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $73.53 / $82.55