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Arkansas rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.93 / $57.06 / $8,967.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $49.92 / $5,130.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.14 / $101.14 / $101.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.96 / $101.14 / $101.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.28 / $60.59 / $66.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.28 / $47.55 / $110.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.69 / $47.55 / $47.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $48.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $60.86