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Illinois rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.62 / $48.98 / $11,677.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $28.27 / $2,451.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.62 / $28.62 / $41.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $117.50 / $560.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $18.50 / $18.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $27.99 / $27.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $31.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $90.11 / $215.93
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.39 / $36.39 / $36.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $34.90 / $37.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $29.67 / $35.63