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Nebraska rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $53.80 / $61.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $28.26 / $288.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.62 / $28.62 / $28.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.94 / $31.69 / $31.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.60 / $34.32 / $35.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $27.99 / $38.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.76 / $41.50 / $54.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $29.67 / $96.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.66 / $29.92 / $47.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.66 / $34.34 / $64.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $32.75 / $57.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $41.99