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Minnesota rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $93.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.18 / $78.29 / $190.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $75.17 / $77.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.44 / $92.79 / $169.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.25 / $79.81 / $95.63
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.06 / $83.11 / $83.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.02 / $75.30 / $83.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $77.48 / $171.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $86.26 / $199.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $71.98 / $128.61