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Wyoming rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $77.48 / $77.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $70.06 / $80.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.17 / $87.26 / $87.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.71 / $63.71 / $63.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $82.82 / $95.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37