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Maryland rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $83.24 / $5,313.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $95.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $77.48 / $77.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.98 / $71.98 / $95.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $79.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.96 / $69.37 / $78.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $77.22 / $84.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.98 / $71.98 / $104.61