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Louisiana rates for HCPCS Q5118

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.17 / $35.90 / $67.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.76 / $26.01 / $38.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $23.93 / $23.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.33 / $35.33 / $53.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.33 / $35.33 / $36.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.58 / $674.58 / $674.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.23 / $20.23 / $25.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $25.77 / $25.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.58 / $25.77 / $34.68