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Massachusetts rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $105.15 / $148.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $92.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.97 / $185.91 / $457.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $72.84 / $317.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.36 / $85.19 / $165.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $69.37 / $71.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $122.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $106.42 / $125.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $457.60 / $457.60
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $73.53 / $317.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $73.53 / $104.06