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West Virginia rates for HCPCS Q5117

Injection Trastuzumab-Anns Biosimilar (Kanjinti)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,395.80 / $12,370.17 / $17,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $52.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.28 / $47.55 / $71.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $56.04 / $110.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.89 / $92.49 / $92.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $47.55 / $47.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.57 / $221.74 / $3,532.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $52.31 / $108.81