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Missouri rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $152.59 / $6,078.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $70.76 / $97.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $93.65 / $249.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.98 / $88.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.71 / $69.37 / $83.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $86.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $92.99 / $199.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.13 / $81.95 / $317.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $82.55