go back

Indiana rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $166.43 / $9,369.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $48.02 / $52.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.55 / $95.10 / $115.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.27 / $47.55 / $61.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.28 / $47.55 / $71.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $59.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $52.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $50.40 / $60.87