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Ohio rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.83 / $4,233.89 / $14,943.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $48.02 / $5,130.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.31 / $29.31 / $29.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.35 / $76.56 / $118.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $54.30 / $81.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.28 / $47.55 / $66.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.28 / $47.55 / $76.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.89 / $44.75 / $49.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $62.83
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.69 / $53.77 / $214.52
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $75.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $47.60 / $61.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $66.81