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Oklahoma rates for HCPCS Q5118

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.13 / $25.84 / $36.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $26.02 / $30.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $23.93 / $23.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.10 / $49.06 / $77.76
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.93 / $27.13 / $73.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.76 / $25.37 / $45.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.74 / $25.77 / $31.59