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Maine rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.32 / $9,259.52 / $9,994.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.02 / $49.45 / $52.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.29 / $52.86 / $150.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $49.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.69 / $47.55 / $92.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.32 / $118.88 / $22,490.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.02 / $49.92 / $65.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $68.95