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Vermont rates for HCPCS Q5116

Injection Trastuzumab-Qyyp Biosimilar (Trazimera) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $49.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.33 / $23.06 / $38.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.91 / $27.99 / $38.43
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.33 / $23.06 / $38.43
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.91 / $27.99 / $38.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $37.51 / $82.36