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Kentucky rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $77.48 / $117.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $93.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.53 / $81.80 / $138.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.43 / $69.37 / $77.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $93.65 / $110.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $76.31 / $106.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $95.37 / $95.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $100.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.14 / $73.91 / $96.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $73.53 / $77.48