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Idaho rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.62 / $6,289.22 / $9,803.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $32.47 / $11,074.00
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 / $27.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.62 / $34.99 / $44.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $30.79 / $34.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.52 / $30.00 / $48.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $24.56 / $46.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.91 / $33.59 / $33.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $29.67