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Utah rates for HCPCS Q5118

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.89 / $4,123.17 / $4,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $27.76 / $3,320.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.68 / $26.49 / $32.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $25.77 / $25.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $29.91 / $36.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $45.09 / $79.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.35 / $34.93 / $36.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $25.77 / $25.77