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West Virginia rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.06 / $77.48 / $9,961.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $78.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $76.31 / $104.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $160.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.71 / $95.37 / $95.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $70.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.87 / $194.87 / $194.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $77.00 / $87.26