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Massachusetts rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.55 / $60.98 / $8,308.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $48.02 / $4,560.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.70 / $131.29 / $393.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $49.93 / $160.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.97 / $58.39 / $113.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.59 / $78.22 / $98.75
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 / $47.55
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.55 / $83.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.13 / $47.22 / $47.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.64 / $393.60 / $393.60
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $50.40 / $160.44
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.33 / $32.85 / $51.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $50.40 / $92.49