go back

Indiana rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $22.91 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $28.18 / $41.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $12.30 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $13.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $41.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.71 / $25.12