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Pennsylvania rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $3,784.51 / $16,535.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $49.47 / $5,289.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.28 / $43.28 / $43.28
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.28 / $54.68 / $36,243.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.22 / $50.63 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.43 / $48.43 / $48.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.89 / $47.55 / $47.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.07 / $46.07 / $77.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.71 / $101.20 / $202.85
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $31.60 / $39.27
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.41 / $61.15 / $27,712.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.14 / $3,538.81 / $14,161.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.79 / $54.68 / $5,654.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $87.70 / $106.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.89 / $47.55 / $47.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $38.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $38.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $50.40 / $71.33