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Maine rates for HCPCS Q5116

Injection Trastuzumab-Qyyp Biosimilar (Trazimera) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.10 / $64.94 / $69.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.83 / $29.39 / $34.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.89 / $31.12 / $88.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $29.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.97 / $27.99 / $82.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $27.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $27.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.94 / $64.94 / $2,880.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $30.62 / $38.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $74.02