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Arkansas rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.59 / $34.34 / $36.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $30.23 / $8,136.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.18 / $45.18 / $45.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.14 / $45.18 / $45.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $37.21 / $42.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $64.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.97 / $27.99 / $27.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.68 / $27.99 / $27.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $35.83