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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
$44.69 / $69.70 / $7,642.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $41.91 / $7,038.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.29 / $60.74 / $120.77
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
$40.29 / $40.29 / $40.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $40.29 / $40.29
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $41.81 / $65.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $40.29 / $44.32