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California rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.27 / $60.68 / $9,187.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $32.18 / $11,074.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.62 / $28.62 / $28.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.69 / $44.71 / $109.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $28.62 / $71.56
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.34 / $82.36 / $100.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $30.37 / $75.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.33 / $22.33 / $27.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $32.24
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $24.93 / $29.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.19 / $33.59 / $63.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.89 / $415.50 / $415.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.60 / $109.60 / $109.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $38.88 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $28.27 / $48.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.71 / $27.99 / $30.37
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.64 / $188.64 / $188.64
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $27.99 / $41.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $53.89