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Tennessee rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $100.74 / $168.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $93.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.97 / $79.64 / $91.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $69.37 / $71.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $457.60 / $457.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.82 / $317.82 / $317.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.90 / $69.37 / $77.48