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North Dakota 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 / $139.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $93.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.87 / $73.23 / $74.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.16 / $73.23 / $74.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.11 / $83.11 / $95.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $75.30 / $95.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $100.74 / $131.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $86.26 / $317.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $83.86