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South Carolina rates for HCPCS Q5117

Injection, trastuzumab-anns, biosimilar, (Kanjinti), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $5,623.41 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $52.48 / $7,585.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $104.71 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $74.13 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $51.29 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $54.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $56.23 / $114.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $114.82 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $51.29 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $54.95 / $57.54