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New Mexico rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.47 / $67.47 / $67.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $48.02 / $60.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.11 / $258.44 / $625.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.93 / $25.93 / $55.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.36 / $47.55 / $92.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.69 / $45.09 / $60.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.36 / $47.55 / $92.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.41 / $47.55 / $47.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $50.40