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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
$8.13 / $16.60 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.32 / $5,888.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $9.33 / $11.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.77 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.91 / $38.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $36.31 / $57.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $31.62 / $109.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $30.20 / $34.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $38.02 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $22.91 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $9.12 / $29.51