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Idaho rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.28 / $9,701.74 / $12,704.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $747.79 / $6,600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.89 / $41.89 / $47.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.28 / $59.43 / $83.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $50.40 / $59.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.29 / $31.22 / $54.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.18 / $37.00 / $62.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $57.06 / $57.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $50.40