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Rhode Island rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.45 / $225.45 / $225.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $72.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.17 / $77.48 / $80.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $77.22