go back

Maine rates for HCPCS Q5117

Injection, trastuzumab-anns, biosimilar, (Kanjinti), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $128.82 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $64.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $60.26 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $51.29 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $128.82 / $10,000.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $52.48 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $72.44