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Montana rates for HCPCS Q5116

Injection Trastuzumab-Qyyp Biosimilar (Trazimera) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $28.27 / $35.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.46 / $28.46 / $28.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.05 / $27.99 / $28.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.96 / $27.99 / $33.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $24.53 / $33.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $27.99