go back

Oklahoma rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $8.91 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $26.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $89.13 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $32.36 / $97.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $28.84 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.71 / $26.30