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Montana rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $52.37 / $4,320.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.86 / $31.86 / $31.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.28 / $47.55 / $47.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.43 / $47.55 / $57.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.21 / $33.35 / $51.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55