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New York rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.55 / $96.08 / $9,028.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $48.02 / $3,648.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.04 / $38.04 / $47.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $47.55 / $48.50
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.41 / $47.41 / $49.78
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.41 / $47.41 / $47.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.89 / $47.55 / $92.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.07 / $73.70 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.36 / $46.07 / $82.99
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.55 / $47.55 / $53.25
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $53.25 / $53.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.01 / $54.84 / $119.42
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.94 / $36.94 / $92.49
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.89 / $70.33 / $92.49
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $96.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.54 / $49.83 / $71.33
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.25 / $53.25 / $53.25
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $53.25 / $53.25