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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
$40.29 / $139.12 / $9,773.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $40.29 / $47.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $44.59 / $48.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.63 / $34.63 / $40.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $40.29 / $50.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.25 / $40.29 / $81.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $44.85 / $59.18