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North Carolina rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.53 / $110.59 / $20,340.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $69.37 / $95.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.65 / $124.47 / $154.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.34 / $80.34 / $100.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.71 / $69.37 / $95.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $87.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.53 / $36.40 / $121.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $76.76 / $104.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.70 / $110.99 / $132.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $73.53 / $83.24
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $457.60 / $457.60
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.82 / $317.82 / $317.82