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Rhode Island rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.97 / $90.97 / $90.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $29.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.61 / $28.62 / $82.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $27.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $27.99 / $27.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $27.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $31.16