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Mississippi rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.84 / $92.99 / $92.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $70.06 / $83.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.65 / $37.65 / $37.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.86 / $32.86 / $32.86
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.30 / $98.30 / $98.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.90 / $69.37 / $91.57