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South Carolina rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.39 / $121.49 / $20,947.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.98 / $28.83 / $5,737.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.98 / $111.95 / $162.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $69.37 / $109.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.33 / $26.56 / $27.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $27.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $33.20 / $96.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.35 / $33.20 / $97.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.67 / $28.67 / $66.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $29.67 / $31.16