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North Dakota rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $27.99 / $51.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $28.26 / $35.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.29 / $25.42 / $25.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.57 / $25.42 / $25.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $33.54 / $38.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.39 / $27.99 / $32.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.62 / $36.67 / $52.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.75 / $31.86 / $109.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $34.90