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Oklahoma rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.44 / $48.61 / $13,778.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $48.50 / $57.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.35 / $96.78 / $153.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.89 / $41.89 / $47.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.28 / $49.08 / $108.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.68 / $43.28 / $59.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $54.68