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Arizona rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.59 / $3,124.99 / $7,493.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $52.30 / $8,436.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.28 / $43.28 / $43.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.61 / $123.20 / $233.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.90 / $45.65 / $49.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.15 / $47.55 / $47.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.28 / $52.36 / $103.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.28 / $43.28 / $100.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $50.40