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Nevada rates for HCPCS Q5114

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.92 / $84.72 / $3,255.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.28 / $41.91 / $5,550.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.59 / $53.00 / $53.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.29 / $42.30 / $50.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $40.29 / $44.59
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
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $75.00
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.86 / $59.86 / $59.86
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $40.29 / $40.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $40.29 / $42.71