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Wisconsin rates for HCPCS Q5116

Injection Trastuzumab-Qyyp Biosimilar (Trazimera) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.83 / $65.72 / $65.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $28.83 / $288.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.78 / $60.18 / $62.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $41.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $38.32 / $42.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $28.62 / $64.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.66 / $33.54 / $53.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.53 / $27.99 / $31.73
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $28.62 / $40.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.62 / $28.62 / $40.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.62 / $31.86 / $109.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $51.51 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $28.62 / $40.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.67 / $29.67 / $66.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $82.36 / $415.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $83.10 / $109.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.29 / $39.29 / $39.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $28.83 / $35.27