go back

Missouri rates for HCPCS Q5117

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $6,165.95 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $60.26 / $9,120.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $54.95 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $51.29 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $54.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $52.48 / $123.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $45.71 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $40.74 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $51.29 / $58.88