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Utah rates for HCPCS Q5116

Injection Trastuzumab-Qyyp Biosimilar (Trazimera) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.47 / $8,983.53 / $13,025.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $28.83 / $34.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $21.17 / $29.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $27.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $31.16 / $38.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.36 / $29.96 / $86.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.79 / $37.94 / $39.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $27.99