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Washington rates for HCPCS Q5116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.79 / $59.53 / $18,016.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $29.39 / $6,600.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.64 / $28.94 / $415.50
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.71 / $30.79 / $109.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.97 / $22.33 / $46.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $29.03
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $28.27 / $122.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $106.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.42 / $30.78 / $41.98
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.47 / $31.10 / $83.97
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.57 / $29.46 / $80.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.58 / $23.81 / $36.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.64 / $20.22 / $39.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $30.79 / $33.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $33.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97