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Colorado rates for HCPCS Q5114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.34 / $89.18 / $8,848.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $40.29 / $55.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.71 / $69.30 / $128.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $40.29 / $40.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.63 / $34.63 / $60.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $40.29 / $40.29
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.71 / $44.59 / $72.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.92 / $44.32 / $63.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $40.29 / $42.71