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Missouri rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.55 / $101.73 / $2,666.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $28.83 / $1,782.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.62 / $28.62 / $28.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $37.79 / $100.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $28.13 / $35.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.33 / $27.99 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $30.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.62 / $35.77 / $96.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.90 / $30.34 / $109.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.75 / $27.99 / $33.31