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Louisiana rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.27 / $40.01 / $80.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $28.27 / $34.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $45.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,785.56 / $1,785.56 / $1,785.56
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.19 / $27.99 / $34.93