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Michigan rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.82 / $38.31 / $8,999.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $28.83 / $34.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $28.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.02 / $84.51 / $161.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.51 / $41.06 / $53.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $30.79 / $42.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $29.39 / $64.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.91 / $27.99 / $29.01
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.82 / $57.47 / $7,362.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $28.83 / $36.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.42 / $35.77 / $42.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $31.16 / $35.83