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New Hampshire rates for HCPCS Q5118

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.93 / $23.93 / $28.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $25.77 / $31.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.81 / $46.39 / $112.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $25.77 / $25.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.23 / $25.77 / $25.77
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 / $43.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $25.77 / $60.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.83 / $86.10 / $3,375.00