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Illinois rates for HCPCS Q5118

Injection Bevacizumab-Bvzr Biosimilar (Zirabev)10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.93 / $41.75 / $88.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.76 / $25.77 / $35.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $23.93 / $25.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.92 / $133.99 / $639.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.59 / $30.08 / $30.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.77 / $25.77 / $25.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $25.77 / $32.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $68.70 / $162.28
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.50 / $33.50 / $33.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.94 / $37.72 / $40.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $27.32 / $30.41