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Mississippi rates for HCPCS Q5114

Injection Trastuzumab-Dkst Biosimilar (Ogivri) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.31 / $53.51 / $8,914.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.28 / $40.70 / $48.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $44.59 / $46.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.19 / $42.19 / $42.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.45 / $44.45 / $44.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.29 / $40.29 / $51.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $40.29 / $40.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $62.27 / $62.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.28 / $40.29 / $55.83