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North Carolina rates for HCPCS Q5117

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $7,943.28 / $19,498.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $54.95 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $87.10 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $51.29 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $51.29 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $109.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $53.70 / $114.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $69.18 / $87.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $46.77 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $54.95 / $57.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17