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Louisiana rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.71 / $64.92 / $7,459.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $48.02 / $57.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.28 / $82.17 / $95.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.28 / $27.28 / $27.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,295.02 / $2,295.02 / $2,295.02
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.80 / $47.55 / $59.34