go back

Alaska rates for HCPCS Q5116

Injection, trastuzumab-qyyp, biosimilar, (Trazimera), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.70 / $186.31 / $186.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.98 / $30.79 / $52.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $27.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.62 / $52.06 / $106.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $62.98
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.64 / $135.65 / $213.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.89 / $116.27 / $116.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $52.06 / $193.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $27.99 / $106.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.67 / $41.99 / $83.97