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Washington, DC rates for HCPCS Q5114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $117.49 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $44.67 / $5,128.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $43.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $38.02 / $81.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $41.69 / $52.48