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Oklahoma rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $83.69 / $142.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $70.76 / $93.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.33 / $0.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.71 / $63.71 / $69.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $87.87 / $121.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.80 / $77.48 / $97.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $79.78