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Hawaii rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $28.83 / $11,300.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.76 / $27.99 / $32.24
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.70 / $27.70 / $27.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $33.59 / $41.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.49 / $27.99 / $41.99
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.47 / $33.20 / $74.02