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Vermont rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $133.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.41 / $63.71 / $81.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $69.37 / $70.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.41 / $63.71 / $81.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $69.37 / $76.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $73.53 / $160.54