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Montana rates for HCPCS Q5118

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.70 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $162.18 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $30.90
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $23.99 / $64.57
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $23.99 / $64.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $30.90 / $74.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $28.84 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $26.92