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Alabama rates for HCPCS Q5114

Injection, Trastuzumab-dkst, biosimilar, (Ogivri), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.29 / $44.59 / $54.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.28 / $40.29 / $48.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $44.59 / $46.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,177.85 / $6,283.58 / $8,453.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $40.29 / $40.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.29 / $40.29 / $40.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $40.29 / $40.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.25 / $40.29 / $44.32