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Hawaii rates for HCPCS Q5118

Injection, bevacizumab-bvzr, biosimilar, (Zirabev), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,783.85 / $14,783.85 / $14,783.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.76 / $25.77 / $35.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $25.77 / $34.50
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.58 / $33.58 / $33.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $30.92 / $38.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $27.32 / $38.65
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.67 / $33.69 / $62.24