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Utah rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.15 / $55.15 / $9,743.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $52.30 / $3,527.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.52 / $40.42 / $46.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.91 / $47.55 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.68 / $45.84 / $78.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.31 / $64.45 / $67.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55