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Nebraska rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $133.34 / $164.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $130.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.97 / $75.26 / $75.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.81 / $85.06 / $95.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $82.05 / $113.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.73 / $112.36 / $147.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.91 / $82.28 / $116.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $88.69 / $129.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.99 / $89.77 / $113.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.84 / $109.20 / $141.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $82.55