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Connecticut rates for HCPCS Q5114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $102.33 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $38.90 / $6,760.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $58.88 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $36.31 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $38.02 / $46.77