go back

Montana rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $10.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $64,565.42 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $28.18
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $14.79 / $77.62
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $14.79 / $77.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $10.23 / $97.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $23.44 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.71