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Louisiana rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $99.96 / $218.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $70.06 / $93.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.28 / $27.28 / $40.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.28 / $27.28 / $27.83
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 / $69.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.43 / $69.37 / $81.92