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Oklahoma rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.05 / $30.91 / $43.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $30.23 / $34.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $33.40 / $33.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.35 / $96.78 / $153.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.33 / $22.33 / $27.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $27.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.62 / $32.46 / $96.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $28.62 / $51.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $34.32