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Maine rates for HCPCS Q5118

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.79 / $59.79 / $7,828.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.76 / $26.80 / $29.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.92 / $28.65 / $81.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $25.77 / $26.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.00 / $25.77 / $62.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $25.77 / $25.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $25.77 / $25.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.79 / $59.79 / $7,828.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $26.81 / $40.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $25.77 / $45.10