go back

North Carolina rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.93 / $6,586.31 / $8,538.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.24 / $27.99 / $115.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.34 / $47.23 / $63.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.61 / $25.61 / $47.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.33 / $27.99 / $37.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $41.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.24 / $33.20 / $96.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.35 / $26.00 / $33.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $44.79 / $103.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $29.67 / $33.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.89 / $415.50 / $415.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.60 / $109.60 / $109.60