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Hawaii rates for HCPCS Q5114

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.28 / $41.91 / $7,650.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $40.29 / $62.21
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.69 / $75.69 / $75.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $48.35 / $60.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $42.71 / $62.21
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.60 / $46.82 / $66.87