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New Hampshire rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $9.77 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $9.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $12.30 / $17.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $8.13 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $11.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $74.13
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $95.50 / $138.04