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Missouri rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.20 / $6,204.64 / $8,756.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $52.30 / $7,084.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.55 / $64.19 / $170.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $60.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.89 / $47.55 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $56.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.28 / $60.59 / $125.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.79 / $45.88 / $160.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.12 / $48.03 / $66.38